JACK K. DEITCHMAN MD – NPI #1346254141
Preventive Medicine

A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

JACK DEITCHMAN is a physician located in GRASS VALLEY, CA. NPPES has assigned the NPI number 1346254141 to JACK DEITCHMAN on July 28, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2083P0500X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine

The NPI profile was previously updated about 17 years ago on Mar 05, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACK DEITCHMAN below.

NPI Profile for
JACK K. DEITCHMAN

NPI Number
1346254141
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JACK K. DEITCHMAN
Credentials
MD
Primary location
140 LITTON DRIVE
SUITE 110
GRASS VALLEY, CA 95945
Phone: (530) 274-8483 Fax: (530) 271-2067
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2083P0500X
- Preventive Medicine / Preventive Medicine/Occupational Environmental Medicine (Primary)
CA G26297

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.