Joseph, Deryck A.

Joseph, Deryck A. is an individual health care provider with primary practice located at 832 Princeton Ave Sw , Birmingham AL 35211-1320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Joseph, Deryck A. can be contacted via phone (205) 206-8470.

Contact Information

Primary practice address
832 Princeton Ave Sw Birmingham AL 35211-1320
Phone: (205) 206-8470
Fax: (205) 206-8390
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 19217 Alabama

Profile Details

NPI number 1679515159
LBN Legal business name Joseph, Deryck A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated Jan 5th, 2018 - about 8 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 1679515159 NPPES
Alabama MEDICAID 009944905
Alabama Other 510-25542

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