Bumgarner, Derek Sean

Bumgarner, Derek Sean is an sole proprietor health care provider with primary practice located at 2160 S 1St Ave Department Of Pathology Building 110 Room 2209, Maywood IL 60153-3328. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Bumgarner, Derek Sean can be contacted via phone (708) 216-3250.

Contact Information

Primary practice address
2160 S 1St Ave Department Of Pathology Building 110 Room 2209 Maywood IL 60153-3328
Phone: (708) 216-3250
Fax: (708) 327-2620
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 036.138853 Illinois

Profile Details

NPI number 1861734683
LBN Legal business name Bumgarner, Derek Sean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2013
Last updated Aug 7th, 2015 - about 11 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.

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