Deliduka, John R
Deliduka, John R is an individual health care provider with primary practice located at 817 Commercial St , Leavenworth WA 98826-1316. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Deliduka, John R can be contacted via phone (509) 548-5815.Contact Information
Primary practice address
817 Commercial St
Leavenworth WA 98826-1316
Phone: (509) 548-5815
Fax: (509) 548-1411
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD00023297 | Washington |
Profile Details
| NPI number | 1588668925 |
|---|---|
| LBN Legal business name | Deliduka, John R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2005 |
| Last updated | Jul 22nd, 2010 - about 16 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 | 1588668925 | NPPES |
| Washington | MEDICAID | 1008093 |
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