Benz, Derek B

Benz, Derek B is an individual health care provider with primary practice located at 1741 S 15Th St , Ozark MO 65721-9030. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Benz, Derek B can be contacted via phone (417) 269-2215.

Contact Information

Primary practice address
1741 S 15Th St Ozark MO 65721-9030
Phone: (417) 269-2215
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2021006539 Missouri

Profile Details

NPI number 1033703624
LBN Legal business name Benz, Derek B
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2021
Last updated Feb 24th, 2021 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1033703624 NPPES
Missouri Other 2021006539 STATE LICENSE

Popular Providers