Der, Jayden

Der, Jayden is an individual health care provider with primary practice located at 2400 E Capitol Dr , Appleton WI 54911-8728. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Der, Jayden can be contacted via phone (920) 831-5050.

Contact Information

Primary practice address
2400 E Capitol Dr Appleton WI 54911-8728
Phone: (920) 831-5050
Fax: (920) 738-6507
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 4301098870 Michigan
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 65587 Wisconsin

Profile Details

NPI number 1659659282
LBN Legal business name Der, Jayden
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2011
Last updated Jun 7th, 2023 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1659659282 NPPES
Wisconsin MEDICAID 1659659282

Popular Providers