Dr Jack Kenneth Deitchman, MD - Preventive Medicine in Grass Valley, CA

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Dr Jack Kenneth Deitchman, MD is a Preventive Medicine - Preventive Medicine/occupational Environmental Medicine physician based in Grass Valley, California. Dr Jack Kenneth Deitchman is licensed to practice in California (license number G26297) and his current practice location is 140 Litton Drive, Suite 110, Grass Valley, California. He can be reached at his office (for appointments etc.) via phone at (530) 274-8483.

NPI number for Dr Jack Kenneth Deitchman is 1346254141 and his current mailing address is 140 Litton Drive, Suite 110, Grass Valley, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346254141.

Contact Information

Dr Jack Kenneth Deitchman, MD
140 Litton Drive, Suite 110,
Grass Valley, CA 95945
(530) 274-8483
(530) 271-2067

Map and Direction




Physician's Profile

Full NameDr Jack Kenneth Deitchman
GenderMale
SpecialityPreventive Medicine - Preventive Medicine/occupational Environmental Medicine
Location140 Litton Drive, Grass Valley, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1346254141
  • Provider Enumeration Date: 07/28/2006
  • Last Update Date: 03/05/2009

Medical Identifiers

Medical identifiers for Dr Jack Kenneth Deitchman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346254141NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083P0500XPreventive Medicine - Preventive Medicine/occupational Environmental Medicine G26297 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jack Kenneth Deitchman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jack Kenneth Deitchman, MD
140 Litton Drive, Suite 110,
Grass Valley, CA 95945

Ph: (530) 274-8483		Dr Jack Kenneth Deitchman, MD
140 Litton Drive, Suite 110,
Grass Valley, CA 95945

Ph: (530) 274-8483

Reviews and Comments


Preventive Medicine Doctors in Grass Valley, CA


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