Hasenour, Derrick L.

Hasenour, Derrick L. is an individual health care provider with primary practice located at 55 N Milford Dr , Franklin IN 46131-7308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hasenour, Derrick L. can be contacted via phone (317) 739-4848.

Contact Information

Primary practice address
55 N Milford Dr Franklin IN 46131-7308
Phone: (317) 739-4848
Fax: (317) 346-4062
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11015132A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01071061A Indiana

Profile Details

NPI number 1295997450
LBN Legal business name Hasenour, Derrick L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2008
Last updated Oct 14th, 2019 - about 7 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 1295997450 NPPES
Indiana MEDICAID 201067650

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