Deaton, William J

Deaton, William J is an individual health care provider with primary practice located at 13872 128Th Ave , Grand Haven MI 49417-9775. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Deaton, William J can be contacted via phone (616) 856-1264.

Contact Information

Primary practice address
13872 128Th Ave Grand Haven MI 49417-9775
Phone: (616) 856-1264
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5101015965 Michigan

Profile Details

NPI number 1336181981
LBN Legal business name Deaton, William J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated Feb 4th, 2015 - about 10 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 1336181981 NPPES
Michigan MEDICAID 4878730
Michigan MEDICAID 4878650
Michigan MEDICAID 4878749
Michigan Other 0154111485
Michigan MEDICAID 4878678
Michigan Other 1598712390
Michigan MEDICAID 4878758
Michigan Other 381360529

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