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:
Health care specialties
| Specialty | Code | License # | 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 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124348842 | NPPES |
| Ohio | MEDICAID | 0077411 |
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