Individual
DR. STEVEN DOUGLAS DEITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
617 23RD ST, ASHLAND, KY 41101-2880
(606) 326-0300
(606) 326-0235
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-4000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
26535
KY
2084N0400X
Neurology Physician
Primary
26535
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000049311
BLUE CROSS
KY
01
—
000000733227
BCBS
KY
05
—
0042484000
—
WV
05
—
0742594
—
OH
01
—
1030745
WEST VIRGINIA WORKERS COM
WV
01
—
26-4183569
AETNA
KY
01
—
4347345
AETNA
KY
05
—
64265358
—
KY
Enumeration date
09/16/2006
Last updated
06/28/2017
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