Brown, Derik J
Brown, Derik J is an individual health care provider with primary practice located at 1016 W Pierce St , Carlsbad NM 88220-4013. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Brown, Derik J can be contacted via phone (575) 885-3445.Contact Information
Primary practice address
1016 W Pierce St
Carlsbad NM 88220-4013
Phone: (575) 885-3445
Fax: (575) 887-0163
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 00299 | Kentucky |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 312 | New Mexico |
Profile Details
| NPI number | 1285637041 |
|---|---|
| LBN Legal business name | Brown, Derik J |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Nov 5th, 2010 - about 14 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 | 1285637041 | NPPES |
| New Mexico | Other | NM005A29 | BCBS |
| New Mexico | MEDICAID | 26753324 | BCBS |
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