S Douglas Deitch Md Psc in Ashland - Specialist
S Douglas Deitch Md Psc - NPI 1770779084
S Douglas Deitch Md Psc is a Specialist in Ashland, Kentucky. S Douglas Deitch Md Psc practices all healthcare services and medical treatments related to Specialist. The NPI Number for S Douglas Deitch Md Psc is 1770779084. The last update date is 2008-04-20.
S Douglas Deitch Md Psc's current location address is 2301 Lexington Ave, Ashland, Kentucky. You can contact this provider via phone number 6063253299 and fax number 6063251386. The mailing address for S Douglas Deitch Md Psc is 2301 Lexington Ave, Ashland, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | S Douglas Deitch Md Psc |
|---|---|
| Address | 2301 Lexington Ave, Ashland, Kentucky |
| Phone Number | 6063253299 |
| Fax Number | 6063251386 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Deitch Douglas Stephen |
| Credentials | MD |
| Telephone Number | 6063253299 |
NPI Number Detail
| NPI Number | 1770779084 |
|---|---|
| Provider Enumeration Date | 2007-09-20 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 2301 Lexington Ave |
|---|---|
| City | Ashland |
| State | Kentucky (KY) |
| Post Code | 411012873 |
| Phone Number | 6063253299 |
| Fax Number | 6063251386 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 26535 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4347345 | KY | AETNA | |
| 64265358 | KY | -- | |
| 1389552 | KY | UMWA | |
| 42484000 | WV | -- | |
| 1498201 | KY | MEDICARE ID | |
| 4982 | KY | MEDICARE ID GROUP | |
| 49311 | KY | BLUE CROSS | |
| 1030745 | KY | WEST VIRGINIA WORKERS COM | |
| 742594 | OH | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to S Douglas Deitch Md Psc?
The S Douglas Deitch Md Psc has been issued the NPI (National Provider Identifier) 1770779084 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of S Douglas Deitch Md Psc?
The S Douglas Deitch Md Psc is physically situated at 2301 Lexington Ave, in the city of Ashland, state of KY, with the postal code 411012873.
What is the S Douglas Deitch Md Psc's specialty and taxonomy code?
The S Douglas Deitch Md Psc's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
When was the S Douglas Deitch Md Psc's 1770779084 issued?
The S Douglas Deitch Md Psc's 1770779084 was issued on 2007-09-20.
As of what date were the S Douglas Deitch Md Psc's details last updated?
The information pertaining to the S Douglas Deitch Md Psc, including its address, specialty, and other details, was most recently updated on 2008-04-20.