Pitman, Deanna M

Pitman, Deanna M is an individual health care provider with primary practice located at 215 E Hawaii Ave # 140 , Nampa ID 83686-6011. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Pitman, Deanna M can be contacted via phone (208) 514-2502.

Contact Information

Primary practice address
215 E Hawaii Ave # 140 Nampa ID 83686-6011
Phone: (208) 514-2502
Fax: (208) 375-2217
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X O0368 Idaho

Profile Details

NPI number 1639169626
LBN Legal business name Pitman, Deanna M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Jan 25th, 2024 - about 2 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 1639169626 NPPES
Idaho MEDICAID 1639169626
Idaho Other 000010150852
Idaho Other 75085
Idaho MEDICAID 807228800
Idaho Other 807228900

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