Dettmann, David A
Dettmann, David A is an individual health care provider with primary practice located at 100 Campus Ave Suite 208, Lewiston ME 04240-6040. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Dettmann, David A can be contacted via phone (207) 777-8974.Contact Information
Primary practice address
100 Campus Ave Suite 208
Lewiston ME 04240-6040
Phone: (207) 777-8974
Fax: (207) 777-8946
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 1658 | Maine |
Profile Details
| NPI number | 1073538427 |
|---|---|
| LBN Legal business name | Dettmann, David A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Dec 10th, 2008 - about 16 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 | 1073538427 | NPPES |
| Maine | MEDICAID | 337840099 |
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