Dezenberg, Carl V

Dezenberg, Carl V is an individual health care provider with primary practice located at 105 W 8Th Ave Suite 150E, Spokane WA 99204-2302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Dezenberg, Carl V can be contacted via phone (509) 474-5437.

Contact Information

Primary practice address
105 W 8Th Ave Suite 150E Spokane WA 99204-2302
Phone: (509) 474-5437
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X G74702 California
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X MD60217759 Washington

Profile Details

NPI number 1871577072
LBN Legal business name Dezenberg, Carl V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Jun 15th, 2024 - about last year

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 1871577072 NPPES
Nevada MEDICAID 002002595

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