Joanie Marie Deatrich
Family Doctor - Adult Medicine
2360 E Pershing Blvd
Cheyenne
, Wyoming 82001-5356
Joanie Marie Deatrich
Family Doctor - Adult Medicine
2360 E Pershing Blvd
Cheyenne
, Wyoming 82001-5356
(307) 778-7559
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Joanie Marie Deatrich
- 2818 Cherrystone Pl
- Fort Collins, CO
- Zip : 80525-6607
- Fax : (307) 778-7559
- Phone : (970) 310-3159
Second Address
- Joanie Marie Deatrich
- 2360 E Pershing Blvd
- Cheyenne, WY
- Zip : 82001-5356
- Phone : (307) 778-7555
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | 0055774 | CO |
National Provider Identifier
| NPI | 1346336500 |
|---|---|
| Provider Name | Joanie Marie Deatrich |
| First Address | Fort Collins, CO 80525-6607 |
| Second Address | Cheyenne, WY 82001-5356 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/10/2006 |
| Last Update Date | 01/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.