Whalen, Derek

Whalen, Derek is an individual health care provider with primary practice located at 1621 Providence Rd S Ste 370 , Waxhaw NC 28173-8331. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Whalen, Derek can be contacted via phone (704) 520-7089.

Contact Information

Primary practice address
1621 Providence Rd S Ste 370 Waxhaw NC 28173-8331
Phone: (704) 520-7089
Fax: (704) 520-7099
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MAO61728 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA061728 Pennsylvania

Profile Details

NPI number 1215545934
LBN Legal business name Whalen, Derek
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2020
Last updated Dec 6th, 2023 - about 3 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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