Deitch, Steven Douglas
Deitch, Steven Douglas is an sole proprietor health care provider with primary practice located at 617 23Rd St , Ashland KY 41101-2880. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Deitch, Steven Douglas can be contacted via phone (606) 326-0300.Contact Information
Primary practice address
617 23Rd St
Ashland KY 41101-2880
Phone: (606) 326-0300
Fax: (606) 326-0235
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 26535 | Kentucky |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 26535 | Kentucky |
Profile Details
| NPI number | 1912003781 |
|---|---|
| LBN Legal business name | Deitch, Steven Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Jun 28th, 2017 - about 9 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 | 1912003781 | NPPES |
| Kentucky | MEDICAID | 64265358 | |
| Kentucky | Other | 000000049311 | |
| Kentucky | Other | 1030745 | |
| Kentucky | Other | 26-4183569 | |
| Kentucky | MEDICAID | 0742594 | |
| Kentucky | Other | 4347345 | |
| Kentucky | Other | 000000733227 | |
| Kentucky | MEDICAID | 0042484000 |
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