Pantiel, Derek Tyler
Pantiel, Derek Tyler is an individual health care provider with primary practice located at 1602 Doctors Cir , Wilmington NC 28401-7406. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Pantiel, Derek Tyler can be contacted via phone (910) 343-8889.Contact Information
Primary practice address
1602 Doctors Cir
Wilmington NC 28401-7406
Phone: (910) 343-8889
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 606 | North Carolina |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 606 | North Carolina |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 606 | North Carolina |
Profile Details
| NPI number | 1528353638 |
|---|---|
| LBN Legal business name | Pantiel, Derek Tyler |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2011 |
| Last updated | Aug 9th, 2022 - about 4 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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