Deterville, Steven Michael

Deterville, Steven Michael is an individual health care provider with primary practice located at 21634 Retreat Pkwy , Corona CA 92883-6100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Deterville, Steven Michael can be contacted via phone (951) 493-6810.

Contact Information

Primary practice address
21634 Retreat Pkwy Corona CA 92883-6100
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A33195 California

Profile Details

NPI number 1700860285
LBN Legal business name Deterville, Steven Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Feb 26th, 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 1700860285 NPPES
California Other ZZZ31887Z SITE LOCATION NUMBER

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