Deitz, Michael E

Deitz, Michael E is an individual health care provider with primary practice located at 475 Bradley Blvd , Richland WA 99352-4419. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Deitz, Michael E can be contacted via phone (509) 943-2240.

Contact Information

Primary practice address
475 Bradley Blvd Richland WA 99352-4419
Phone: (509) 943-2240
Fax: (509) 943-1575
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD21436 Washington

Profile Details

NPI number 1285610378
LBN Legal business name Deitz, Michael E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Feb 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285610378 NPPES
Washington Other 1004901 COMMUNITY HEALTH PLAN
Washington MEDICAID 1011998 COMMUNITY HEALTH PLAN
Washington Other 5438375 COMMUNITY HEALTH PLAN
Washington MEDICAID 152595 COMMUNITY HEALTH PLAN
Washington Other 26051 COMMUNITY HEALTH PLAN
Washington Other 350230 COMMUNITY HEALTH PLAN
Washington Other 314 COMMUNITY HEALTH PLAN

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