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
Fax: (205) 941-1313
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194877753 NPPES
Alabama MEDICAID 008403610
Alabama Other C-76631
Alabama Other 51013242
Alabama Other 2635171001

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