Deters, Patricia A

Deters, Patricia A is an individual health care provider with primary practice located at 2265 W Altorfer Dr , Peoria IL 61615-1807. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Deters, Patricia A can be contacted via phone (309) 683-7700.

Contact Information

Primary practice address
2265 W Altorfer Dr Peoria IL 61615-1807
Phone: (309) 683-7700
Fax: (309) 683-7752
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 036095780 Illinois
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 036095780 Illinois

Profile Details

NPI number 1972539575
LBN Legal business name Deters, Patricia A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Jul 23rd, 2019 - about 5 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 1972539575 NPPES
Illinois MEDICAID 036095780

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