# MR. ROBERT WAYNE DEEMS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1255480729
- **Gender:** Man
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 3001 | OH | Yes |
| 111N00000X | Chiropractor | 740 | WV | — |

## Other

- **Enumeration date:** 01/10/2007
- **Last updated:** 07/09/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2201004-000 | — | WV |
| 05 | — | 2205590 | — | OH |
| 01 | — | 311735772-00 | OHIO WORKER'S COMP \# | OH |
| 01 | — | 311735772-002 | BLUE CROSS OF IDAHO \# | OH |
| 01 | — | 7824235 | AETNA US HEALTHCARE \# | OH |