institution
S Douglas Deitch Md Psc
Specialist in Ashland, Kentucky
NPI 1770779084

S Douglas Deitch Md Psc is a Specialist based in Ashland, KY. S Douglas Deitch Md Psc practices in Ashland, KY. The NPI Number for S Douglas Deitch Md Psc is 1770779084 and holds a License No. 26535 (Kentucky).

The current practice location address for S Douglas Deitch Md Psc is 2301 Lexington Ave, Ashland, KY and can be reached out via phone at 606-325-3299 and via fax at 606-325-1386.

Location: 2301 Lexington Ave, Ashland, KY, 41101-2873
institution
Provider Profile Details
NPI Number
1770779084
Provider Name
S Douglas Deitch Md Psc
Credential
Provider Entity Type
Organization
Address
2301 Lexington Ave, Ashland, KY, 41101-2873
Phone Number
606-325-3299
Fax Number
606-325-1386
Provider Enumeration Date
09/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4347345 01 KY AETNA
64265358 05 KY
1389552 01 KY UMWA
0042484000 05 WV
1498201 01 KY MEDICARE ID
4982 01 KY MEDICARE ID GROUP
000000049311 01 KY BLUE CROSS
1030745 01 KY WEST VIRGINIA WORKERS COM
0742594 05 OH
institution
Provider Business Practice Location Address Details
Address
2301 Lexington Ave
City
State
Zip
41101-2873
Phone Number
606-325-3299
Fax Number
606-325-1386
person
Provider Business Mailing Address Details
Address
2301 Lexington Ave
City
State
Zip
41101-2873
Phone Number
606-325-3299
Fax Number
606-325-1386
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
26535 (Kentucky)
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.
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