Deters, Michael L
Deters, Michael L is an individual health care provider with primary practice located at 1443 Prospect Blvd , Waterloo IA 50701-4953. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Deters, Michael L can be contacted via phone (319) 234-6553.Contact Information
Primary practice address
1443 Prospect Blvd
Waterloo IA 50701-4953
Phone: (319) 234-6553
Fax: (319) 272-2038
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 19538 | Iowa |
Profile Details
| NPI number | 1346227477 |
|---|---|
| LBN Legal business name | Deters, Michael L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2005 |
| Last updated | Sep 26th, 2008 - about 17 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 | 1346227477 | NPPES |
| Iowa | MEDICAID | 0128801 | |
| Iowa | Other | 110115799 |
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