Deitz, David Michael
Deitz, David Michael is an individual health care provider with primary practice located at 3920 Capitol Mall Dr Sw Suite 302, Olympia WA 98502-8700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Deitz, David Michael can be contacted via phone (360) 754-3507.Contact Information
Primary practice address
3920 Capitol Mall Dr Sw Suite 302
Olympia WA 98502-8700
Phone: (360) 754-3507
Fax: (360) 236-1457
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD00025585 | Washington |
Profile Details
| NPI number | 1336198118 |
|---|---|
| LBN Legal business name | Deitz, David Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2006 |
| Last updated | Mar 7th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336198118 | NPPES |
| Washington | MEDICAID | 1072552 | |
| Washington | Other | 115568 |
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