Derlet, Mikla Nina

Derlet, Mikla Nina is an individual health care provider with primary practice located at 2516 Stockton Blvd Department Of Pediatrics, Sacramento CA 95817-2208. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Derlet, Mikla Nina can be contacted via phone (916) 734-5387.

Contact Information

Primary practice address
2516 Stockton Blvd Department Of Pediatrics Sacramento CA 95817-2208
Phone: (916) 734-5387
Fax: (916) 456-2236
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A77577 California

Profile Details

NPI number 1154323715
LBN Legal business name Derlet, Mikla Nina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated May 9th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154323715 NPPES
California MEDICAID 00A775770

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