Deitel, Kevin Mark

Deitel, Kevin Mark is an individual health care provider with primary practice located at 2221 Wankel Way , Oxnard CA 93030-0192. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Deitel, Kevin Mark can be contacted via phone (805) 988-9366.

Contact Information

Primary practice address
2221 Wankel Way Oxnard CA 93030-0192
Phone: (805) 988-9366
Fax: (805) 483-3747
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X G85673 California

Profile Details

NPI number 1033111380
LBN Legal business name Deitel, Kevin Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Oct 1st, 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 1033111380 NPPES
California Other G85673 MEDICAL LICENSE
California Other H35473 MEDICAL LICENSE

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