Deitchman, Jack Kenneth

Deitchman, Jack Kenneth is an individual health care provider with primary practice located at 140 Litton Drive Suite 110, Grass Valley CA 95945. He recently has only one registered license in Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine, which is considered as his primary health care specialty. Deitchman, Jack Kenneth can be contacted via phone (530) 274-8483.

Contact Information

Primary practice address
140 Litton Drive Suite 110 Grass Valley CA 95945
Phone: (530) 274-8483
Fax: (530) 271-2067
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine 2083P0500X G26297 California

Profile Details

NPI number 1346254141
LBN Legal business name Deitchman, Jack Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Mar 5th, 2009 - about 17 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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