Detwiler, John H
Detwiler, John H is an individual health care provider with primary practice located at 1955 W Citracado Pkwy Suite 300, Escondido CA 92029-4113. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Detwiler, John H can be contacted via phone (760) 743-0546.Contact Information
Primary practice address
1955 W Citracado Pkwy Suite 300
Escondido CA 92029-4113
Phone: (760) 743-0546
Fax: (760) 743-8837
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | G23336 | California |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | G23336 | California |
Profile Details
| NPI number | 1154324036 |
|---|---|
| LBN Legal business name | Detwiler, John H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Oct 8th, 2012 - about 12 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 | 1154324036 | NPPES |
| Other | 060020994 | RR MEDICARE | |
| MEDICAID | 1154324036 | RR MEDICARE |
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