Williamson, Derrick

Williamson, Derrick is an individual health care provider with primary practice located at 20755 Greenfield Rd Ste 100 , Southfield MI 48075-5400. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Williamson, Derrick can be contacted via phone (947) 282-5009.

Contact Information

Primary practice address
20755 Greenfield Rd Ste 100 Southfield MI 48075-5400
Phone: (947) 282-5009
Fax: (248) 809-2319
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X DW009333 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101009333 Michigan

Profile Details

NPI number 1215922059
LBN Legal business name Williamson, Derrick
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Nov 2nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215922059 NPPES
Michigan MEDICAID 1215922059
Michigan MEDICAID 437095911

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