Patton, Demetrius L

Patton, Demetrius L is an individual health care provider with primary practice located at 141 Hospital Dr , Salem KY 42078-8043. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Patton, Demetrius L can be contacted via phone (270) 988-3298.

Contact Information

Primary practice address
141 Hospital Dr Salem KY 42078-8043
Phone: (270) 988-3298
Fax: (270) 988-4642
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 01047153A Indiana
Allopathic & Osteopathic Physicians / Surgery 208600000X TP792 Kentucky
Allopathic & Osteopathic Physicians / Surgery 208600000X 45974 Kentucky

Profile Details

NPI number 1730184730
LBN Legal business name Patton, Demetrius L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jun 10th, 2014 - about 12 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 1730184730 NPPES
Kentucky MEDICAID 7100230640
Kentucky MEDICAID 200352900

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