| Doctor Name: | BARBARA DEICH |
| NPI Number: | 1033103866 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NURSE PRACTITIONER |
| License Number: | 71000986A |
| Business Practice Address: | 2900 16th St Bedford, IN - 474213510 |
| Business Phone Number: | 8122755352 |
| Business Fax Number: | 8122751374 |
| Mailing Address: | 2900 16th St, BEDFORD |
| State: | IN |
| Postal Code: | 474213510 |
| Phone Number: | 8122755352 |
| Fax Number: | 8122751374 |
| NPI Enumeration Date: | 09/08/2005 |
| NPI Last Update Date: | 03/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 71000986A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |