Provider Demographics
NPI:1992032882
Name:DEUTSCHER CLINICS, P. C.
Entity Type:Organization
Organization Name:DEUTSCHER CLINICS, P. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:DEUTSCHER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:605-374-5654
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:605-374-3864
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:605-374-3864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-12
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD635111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SDS86505Medicare PIN