Provider Demographics
NPI:1952482002
Name:DEUTSCHER, JOEL A (DC)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:A
Last Name:DEUTSCHER
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 1:11 4TH ST E
Mailing Address - Street 2:
Mailing Address - City:LEMMON
Mailing Address - State:SD
Mailing Address - Zip Code:57638-1524
Mailing Address - Country:US
Mailing Address - Phone:605-374-5654
Mailing Address - Fax:
Practice Address - Street 1:11 4TH ST E
Practice Address - Street 2:
Practice Address - City:LEMMON
Practice Address - State:SD
Practice Address - Zip Code:57638-1524
Practice Address - Country:US
Practice Address - Phone:605-374-5654
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD635111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD86505Medicare ID - Type UnspecifiedCHIROPRACTOR