Provider Demographics
NPI:1821287228
Name:DEITSCH & ROYER MD INC
Entity Type:Organization
Organization Name:DEITSCH & ROYER MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR SEC & TREAS
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:DEITSCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:765-935-3151
Mailing Address - Street 1:1130 NORTH J STREET
Mailing Address - Street 2:DEITSCH & ROYER MD INC
Mailing Address - City:RICHMOND
Mailing Address - State:IN
Mailing Address - Zip Code:47374
Mailing Address - Country:US
Mailing Address - Phone:765-935-3151
Mailing Address - Fax:765-935-7487
Practice Address - Street 1:1130 NORTH J STREET
Practice Address - Street 2:DEITSCH & ROYER MD INC
Practice Address - City:RICHMOND
Practice Address - State:IN
Practice Address - Zip Code:47374
Practice Address - Country:US
Practice Address - Phone:765-935-3151
Practice Address - Fax:765-935-7487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-22
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01025101B207Q00000X
IN01024366A207Q00000X
IN01050945B207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty