ANTHONY DEGUZMAN MD PSC NPI 1205161239

NPI Information

NPI: 1205161239
Provider Name: ANTHONY DEGUZMAN MD PSC

Former Legal Business Name: ANTHONY DEGUZMAN MD

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
309 BROADWAY ST
PAINTSVILLE, KY
ZIP 41240
Phone: (606) 789-4450
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ANTHONY DEGUZMAN MD PSC is a primary care clinic center in Paintsville, KY. ANTHONY DEGUZMAN MD PSC NPI is 1205161239. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Anthony Deguzman Md.

The provider's business location address is:

309 BROADWAY ST
PAINTSVILLE, KY
ZIP 41240-348
Phone: (606) 789-4450
Fax: (606) 789-4452

The provider's authorized official is Anthony Asuncion Deguzman .
The authorized official title is Doctor / Owner and has the following contact phone number (606) 789-4450.

The enumeration date for this NPI number is 10/8/2009 and was last updated on 7/1/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	31110	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	G20914	MEDICARE UPIN	KENTUCKY
2	1893201	MEDICARE PIN	KENTUCKY
3	64311103	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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