S Douglas Deitch Md Psc
LBN: S Douglas Deitch Md Psc
S Douglas Deitch Md Psc is an health care organization with primary practice located at 2301 Lexington Ave Suite 310, Ashland KY 41101-2873. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
S Douglas Deitch Md Psc can be contacted via phone (606) 325-3299, or through Deitch, Stephen Douglas via phone (606) 325-3299.
Contact Information
Primary practice address
2301 Lexington Ave Suite 310
Ashland KY 41101-2873
Phone: (606) 325-3299
Fax: (606) 325-1386
Website:
Authorized official contact:
Name: Deitch, Stephen Douglas Doctor of Medicine (MD)
Phone: (606) 325-3299
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 26535 | Kentucky |
Profile Details
| NPI number | 1770779084 |
|---|---|
| LBN Legal business name | S Douglas Deitch Md Psc |
| DBA Doing business as | |
| Authorized official | Deitch, Stephen Douglas Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 20th, 2007 |
| Last updated | Apr 20th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770779084 | NPPES |
| Kentucky | Other | 4347345 | AETNA |
| Kentucky | MEDICAID | 64265358 | AETNA |
| Kentucky | Other | 1389552 | AETNA |
| Kentucky | MEDICAID | 0042484000 | AETNA |
| Kentucky | Other | 1498201 | AETNA |
| Kentucky | Other | 4982 | AETNA |
| Kentucky | Other | 000000049311 | AETNA |
| Kentucky | Other | 1030745 | AETNA |
| Kentucky | MEDICAID | 0742594 | AETNA |
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