Falkenstein, Derek Alan
Falkenstein, Derek Alan is an individual health care provider with primary practice located at 1509 Fairmont Avenue , Fairmont WV 26554-1346. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Falkenstein, Derek Alan can be contacted via phone (304) 363-0050.Contact Information
Primary practice address
1509 Fairmont Avenue
Fairmont WV 26554-1346
Phone: (304) 363-0050
Fax: (304) 363-0048
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1189 | West Virginia |
Profile Details
| NPI number | 1326097544 |
|---|---|
| LBN Legal business name | Falkenstein, Derek Alan |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2006 |
| Last updated | Jul 10th, 2008 - about 17 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 | 1326097544 | NPPES |
| West Virginia | MEDICAID | 3810005585 |
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