Seaquist, Derek Kevin

Seaquist, Derek Kevin is an sole proprietor health care provider with primary practice located at 2222 N Nevada Ave , Colorado Springs CO 80907-6819. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Seaquist, Derek Kevin can be contacted via phone (719) 776-5816.

Contact Information

Primary practice address
2222 N Nevada Ave Colorado Springs CO 80907-6819
Phone: (719) 776-5816
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 22764 Nebraska
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 0056992 Colorado

Profile Details

NPI number 1487619532
LBN Legal business name Seaquist, Derek Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2006
Last updated Feb 22nd, 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 1487619532 NPPES
Colorado MEDICAID 9000146429

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