Derickson, Michael Joseph
Derickson, Michael Joseph is an individual health care provider with primary practice located at 3601 The Vanderbilt Clinic , Nashville TN 37232-1000. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Derickson, Michael Joseph can be contacted via phone (615) 322-3000.Contact Information
Primary practice address
3601 The Vanderbilt Clinic
Nashville TN 37232-1000
Phone: (615) 322-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 63026 | Tennessee |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 28843 | Nebraska |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 63026 | Tennessee |
Profile Details
| NPI number | 1750707261 |
|---|---|
| LBN Legal business name | Derickson, Michael Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2014 |
| Last updated | Jun 1st, 2022 - about 4 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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