Provider Demographics
NPI:1629223672
Name:DETERMAN, PATRICK E (DC)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:E
Last Name:DETERMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 BROADWAY AVE STE E
Mailing Address - Street 2:
Mailing Address - City:YANKTON
Mailing Address - State:SD
Mailing Address - Zip Code:57078-4824
Mailing Address - Country:US
Mailing Address - Phone:605-660-2086
Mailing Address - Fax:
Practice Address - Street 1:2901 BROADWAY AVE STE E
Practice Address - Street 2:
Practice Address - City:YANKTON
Practice Address - State:SD
Practice Address - Zip Code:57078-4824
Practice Address - Country:US
Practice Address - Phone:605-660-2086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-18
Last Update Date:2013-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1150111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor