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:
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Health care specialties

SpecialtyCodeLicense #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 18 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 1326097544 NPPES
West Virginia MEDICAID 3810005585

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