Deddens, Alan E
Deddens, Alan E is an individual health care provider with primary practice located at 707 Bryant St , Statesville NC 28677-4142. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Deddens, Alan E can be contacted via phone (704) 873-5224.Contact Information
Primary practice address
707 Bryant St
Statesville NC 28677-4142
Phone: (704) 873-5224
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 9400465 | North Carolina |
Profile Details
| NPI number | 1366434870 |
|---|---|
| LBN Legal business name | Deddens, Alan E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Jan 24th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366434870 | NPPES |
| North Carolina | MEDICAID | 8928084 |
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