Anderson, Derek Nathan
Anderson, Derek Nathan is an individual health care provider with primary practice located at 454 Old Street Rd Ste 207 , Peterborough NH 03458-1253. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Anderson, Derek Nathan can be contacted via phone (603) 924-4664.Contact Information
Primary practice address
454 Old Street Rd Ste 207
Peterborough NH 03458-1253
Phone: (603) 924-4664
Fax: (603) 924-8653
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD169675 | Oregon |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 36375 | Iowa |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20947 | New Hampshire |
Profile Details
| NPI number | 1255491635 |
|---|---|
| LBN Legal business name | Anderson, Derek Nathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2006 |
| Last updated | Dec 1st, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255491635 | NPPES |
| Oregon | MEDICAID | 500682438 |
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