Deitz, Micheal

Deitz, Micheal is an individual health care provider with primary practice located at 2315 E Harmony Rd Ste 170 , Fort Collins CO 80528-8620. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Deitz, Micheal can be contacted via phone (970) 495-8450.

Contact Information

Primary practice address
2315 E Harmony Rd Ste 170 Fort Collins CO 80528-8620
Phone: (970) 495-8450
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 560 Colorado

Profile Details

NPI number 1033180518
LBN Legal business name Deitz, Micheal
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Dec 28th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033180518 NPPES
Colorado Other P00944690 MEDICARE RAILROAD CARRIER PTAN
Colorado MEDICAID 07005606 MEDICARE RAILROAD CARRIER PTAN

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