Derian, Wissam
Derian, Wissam is an individual health care provider with primary practice located at 1025 Maine St , Quincy IL 62301-4038. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Derian, Wissam can be contacted via phone (217) 222-6550.Contact Information
Primary practice address
1025 Maine St
Quincy IL 62301-4038
Phone: (217) 222-6550
Fax: (217) 277-2253
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036113096 | Illinois |
Profile Details
| NPI number | 1063684066 |
|---|---|
| LBN Legal business name | Derian, Wissam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2008 |
| Last updated | Feb 8th, 2010 - about 16 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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