Newsome, Derek S.
Newsome, Derek S. is an individual health care provider with primary practice located at 3200 Maccorkle Ave Se Suite B16, Charleston WV 25304-1227. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Newsome, Derek S. can be contacted via phone (304) 388-5848.Contact Information
Primary practice address
3200 Maccorkle Ave Se Suite B16
Charleston WV 25304-1227
Phone: (304) 388-5848
Fax: (304) 388-9654
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 01510 | West Virginia |
Profile Details
| NPI number | 1669780649 |
|---|---|
| LBN Legal business name | Newsome, Derek S. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2010 |
| Last updated | Dec 23rd, 2015 - about 11 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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