Derber, Paul M
Derber, Paul M is an individual health care provider with primary practice located at 1168 First Colonial Rd Ste 201, Virginia Beach VA 23454-2444. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Derber, Paul M can be contacted via phone (757) 481-1113.Contact Information
Primary practice address
1168 First Colonial Rd Ste 201
Virginia Beach VA 23454-2444
Phone: (757) 481-1113
Fax: (757) 496-3822
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 10179 | Nevada |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 101241807 | Virginia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101241807 | Virginia |
Profile Details
| NPI number | 1366446809 |
|---|---|
| LBN Legal business name | Derber, Paul M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2005 |
| Last updated | Jul 6th, 2011 - about 13 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 | 1366446809 | NPPES |
| Nevada | MEDICAID | 002018782 | |
| Nevada | Other | 179167 | |
| Nevada | Other | 689437 |
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