Hersey, Derek J

Hersey, Derek J is an individual health care provider with primary practice located at 133 Brookline Ave , Boston MA 02215-3904. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Hersey, Derek J can be contacted via phone (617) 421-2194.

Contact Information

Primary practice address
133 Brookline Ave Boston MA 02215-3904
Phone: (617) 421-2194
Fax: (617) 421-2192
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1256 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1256 Massachusetts

Profile Details

NPI number 1114981289
LBN Legal business name Hersey, Derek J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jan 8th, 2021 - about 5 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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