Deters, Robert L.

Deters, Robert L. is an individual health care provider with primary practice located at 222 East Medical Lane Suite 200, West Columbia SC 29169-4801. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Deters, Robert L. can be contacted via phone (803) 935-8410.

Contact Information

Primary practice address
222 East Medical Lane Suite 200 West Columbia SC 29169-4801
Phone: (803) 935-8410
Fax: (803) 936-7816
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 78809 Massachusetts
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 11526 New Hampshire
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 78809 Massachusetts
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 81664 South Carolina

Profile Details

NPI number 1942294004
LBN Legal business name Deters, Robert L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Oct 27th, 2020 - 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 1942294004 NPPES
Other M20928 MEDICARE GROUP
MEDICAID 3118916 MEDICARE GROUP
MEDICAID 110053869A MEDICARE GROUP
MEDICAID 30201961 MEDICARE GROUP
Other 80667 MEDICARE GROUP

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