Dawkins, Derrol
Dawkins, Derrol is an individual health care provider with primary practice located at 401 Valley Ave , Birmingham AL 35209-3805. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Dawkins, Derrol can be contacted via phone (205) 941-1414.Contact Information
Primary practice address
401 Valley Ave
Birmingham AL 35209-3805
Phone: (205) 941-1414
Fax: (205) 941-1313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 0010039 | Alabama |
Profile Details
| NPI number | 1194877753 |
|---|---|
| LBN Legal business name | Dawkins, Derrol |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1194877753 | NPPES |
| Alabama | MEDICAID | 008403610 | |
| Alabama | Other | C-76631 | |
| Alabama | Other | 51013242 | |
| Alabama | Other | 2635171001 |
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