Deam, Kaleb T

Deam, Kaleb T is an sole proprietor health care provider with primary practice located at 225 Stocksdale Dr , Marysville OH 43040-5511. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Deam, Kaleb T can be contacted via phone (937) 644-2070.

Contact Information

Primary practice address
225 Stocksdale Dr Marysville OH 43040-5511
Fax: (937) 644-0105
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34.015437 Ohio

Profile Details

NPI number 1043875776
LBN Legal business name Deam, Kaleb T
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2019
Last updated Mar 24th, 2022 - about 4 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 1043875776 NPPES
Ohio MEDICAID 0468419

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