Allen, Derryk
Allen, Derryk is an individual health care provider with primary practice located at 1100 S Medical Dr , Mt Pleasant UT 84647-2222. 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 / Physician Assistant is his primary health care specialty. Allen, Derryk can be contacted via phone (435) 462-3471.Contact Information
Primary practice address
1100 S Medical Dr
Mt Pleasant UT 84647-2222
Phone: (435) 462-3471
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5472057-1206 | Utah |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 5472057-1206 | Utah |
Profile Details
NPI number | 1780034959 |
---|---|
LBN Legal business name | Allen, Derryk |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 17th, 2016 |
Last updated | Jun 17th, 2016 - about 9 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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