Dirks, Derek Thomas

Dirks, Derek Thomas is an individual health care provider with primary practice located at 750 N Syringa St Ste 205 , Post Falls ID 83854-5275. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Dirks, Derek Thomas can be contacted via phone (208) 262-0945.

Contact Information

Primary practice address
750 N Syringa St Ste 205 Post Falls ID 83854-5275
Phone: (208) 262-0945
Fax: (208) 415-0150
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD193751 Oregon
Allopathic & Osteopathic Physicians / Surgery 208600000X M-15190 Idaho

Profile Details

NPI number 1427476225
LBN Legal business name Dirks, Derek Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2014
Last updated Apr 22nd, 2024 - about 2 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 1427476225 NPPES
Washington MEDICAID 2136241
Washington MEDICAID 1427476225

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