Derrick, Michael
Derrick, Michael is an individual health care provider with primary practice located at 1100 Reid Pkwy Reid Hospital & Health Care Services, Richmond IN 47374. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Derrick, Michael can be contacted via phone (765) 983-3492.Contact Information
Primary practice address
1100 Reid Pkwy Reid Hospital & Health Care Services
Richmond IN 47374
Phone: (765) 983-3492
Fax: (765) 983-7958
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01082585A | Indiana |
Profile Details
| NPI number | 1790133734 |
|---|---|
| LBN Legal business name | Derrick, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2016 |
| Last updated | May 13th, 2021 - about 5 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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