Hollingsworth, J. Derek

Hollingsworth, J. Derek is an individual health care provider with primary practice located at 6775 Point Pleasant Rd , Millwood WV 25262-8100. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Hollingsworth, J. Derek can be contacted via phone (304) 273-0112.

Contact Information

Primary practice address
6775 Point Pleasant Rd Millwood WV 25262-8100
Phone: (304) 273-0112
Fax: (304) 273-0115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34007332 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2360 West Virginia
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 27036 Montana

Profile Details

NPI number 1336192269
LBN Legal business name Hollingsworth, J. Derek
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Dec 19th, 2016 - about 9 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 1336192269 NPPES
Ohio Other 2246895 MOLINA MEDICAID
Ohio Other 000000185452 MOLINA MEDICAID
Ohio MEDICAID 3002978000 MOLINA MEDICAID
Ohio Other 27036 MOLINA MEDICAID
Ohio Other 930106977 MOLINA MEDICAID
Ohio Other 1336192269 MOLINA MEDICAID
Ohio Other 001714124 MOLINA MEDICAID
Ohio Other 516066972 MOLINA MEDICAID
Ohio Other 000000205910 MOLINA MEDICAID

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