Timmermann, Derek

Timmermann, Derek is an individual health care provider with primary practice located at 5666 E State St Emergency Department, Rockford IL 61108-2425. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Timmermann, Derek can be contacted via phone (815) 395-5189.

Contact Information

Primary practice address
5666 E State St Emergency Department Rockford IL 61108-2425
Phone: (815) 395-5189
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036.118970 Illinois

Profile Details

NPI number 1649213141
LBN Legal business name Timmermann, Derek
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Aug 31st, 2012 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1649213141 NPPES
California MEDICAID WA91176B

Popular Providers