Deruyter, David N
Deruyter, David N is an individual health care provider with primary practice located at 3193 Howell Mill Rd Nw Suite 322, Atlanta GA 30327. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Deruyter, David N can be contacted via phone (404) 352-3683.Contact Information
Primary practice address
3193 Howell Mill Rd Nw Suite 322
Atlanta GA 30327
Phone: (404) 352-3683
Fax: (404) 351-8144
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 0035239 | Georgia |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 035239 | Georgia |
Profile Details
| NPI number | 1134196280 |
|---|---|
| LBN Legal business name | Deruyter, David N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2006 |
| Last updated | Dec 2nd, 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 | 1134196280 | NPPES |
| Georgia | MEDICAID | 00506316A |
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