Mchaffie, Derek R
Mchaffie, Derek R is an individual health care provider with primary practice located at 1021 Morehead Medical Dr , Charlotte NC 28204-2839. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Mchaffie, Derek R can be contacted via phone (704) 355-2272.Contact Information
Primary practice address
1021 Morehead Medical Dr
Charlotte NC 28204-2839
Phone: (704) 355-2272
Fax: (704) 355-1865
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 2011-00348 | North Carolina |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 33435 | South Carolina |
Profile Details
| NPI number | 1982640173 |
|---|---|
| LBN Legal business name | Mchaffie, Derek R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Dec 19th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982640173 | NPPES |
| North Carolina | MEDICAID | 5917086 | |
| North Carolina | MEDICAID | NC1339 |
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