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NPI Code Detail

MEDICARE: DR. DENISE LUCILLE DESCHENES M.D.

MEDICARE: DR. DENISE LUCILLE DESCHENES M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0015XPsychosomatic Medicine Physician35061611OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700093424
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DENISE LUCILLE DESCHENES M.D.
Provider Business Mailing Address
First Line : 1640 NEIL AVE
Second Line : 4TH FLOOR
City : COLUMBUS
State : OH
Zip : 43201-2333
Country : US
Telephone Number : 614-292-5766
Fax Number : 614-688-3440
Provider Business Practice Location Address
First Line : 1640 NEIL AVE
Second Line : 4TH FLOOR
City : COLUMBUS
State : OH
Zip : 43201-2333
Country : US
Telephone Number : 614-292-5766
Fax Number : 614-688-3440
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2007
Last Update Date : 07/09/2007

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