Brown, Derek Matthew

Brown, Derek Matthew is an sole proprietor health care provider with primary practice located at 1761 Beall Ave Suite 3B, Wooster OH 44691-2342. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Brown, Derek Matthew can be contacted via phone (330) 462-7001.

Contact Information

Primary practice address
1761 Beall Ave Suite 3B Wooster OH 44691-2342
Phone: (330) 462-7001
Fax: (330) 263-8169
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 34.010738 Ohio
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 34.010738 Ohio

Profile Details

NPI number 1124348842
LBN Legal business name Brown, Derek Matthew
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2010
Last updated Jul 21st, 2022 - 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 1124348842 NPPES
Ohio MEDICAID 0077411

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