Individual
DR. STEVEN DOUGLAS DEITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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