Derdzinska, Anna B
Derdzinska, Anna B is an individual health care provider with primary practice located at 2720 Low Ct , Fairfield CA 94534-9771. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Derdzinska, Anna B can be contacted via phone (707) 427-4900.Contact Information
Primary practice address
2720 Low Ct
Fairfield CA 94534-9771
Phone: (707) 427-4900
Fax: (707) 434-2090
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A42489 | California |
Profile Details
| NPI number | 1578650883 |
|---|---|
| LBN Legal business name | Derdzinska, Anna B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2006 |
| Last updated | May 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578650883 | NPPES |
| California | MEDICAID | 00A424890 |
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