Axibal, Derek Paul

Axibal, Derek Paul is an individual health care provider with primary practice located at 840 Cook Rd , Hastings MI 49058-9616. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Axibal, Derek Paul can be contacted via phone (269) 945-9520.

Contact Information

Primary practice address
840 Cook Rd Hastings MI 49058-9616
Phone: (269) 945-9520
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 2019-00572 North Carolina
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 4301501710 Michigan
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 4301501710 Michigan

Profile Details

NPI number 1598183196
LBN Legal business name Axibal, Derek Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2014
Last updated Mar 10th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1598183196 NPPES
North Carolina Other 0397730007 NSC#

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