Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2000151987 | MO |
N | 111NS0005X | Chiropractic Sports Physician | 2000151987 | MO |
NPI | 1316190101 |
---|---|
Provider Name | Dr. Selam Belay Deutschmann |
First Address | Saint Louis, MO 63108-1027 |
Second Address | Saint Louis, MO 63108-1027 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2008 |
Last Update Date | 24/10/2008 |