Derbyshire, John S

Derbyshire, John S is an individual health care provider with primary practice located at 1051 Country Club Rd , Rocky Mount NC 27804-1710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Derbyshire, John S can be contacted via phone (252) 937-4084.

Contact Information

Primary practice address
1051 Country Club Rd Rocky Mount NC 27804-1710
Fax: (252) 937-7538
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20782 North Carolina

Profile Details

NPI number 1275527905
LBN Legal business name Derbyshire, John S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Aug 22nd, 2007 - about 17 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 1275527905 NPPES
North Carolina Other 196944 CIGNA HEALTHCARE
North Carolina Other 28356 CIGNA HEALTHCARE
North Carolina Other 22965 CIGNA HEALTHCARE
North Carolina MEDICAID 8928356 CIGNA HEALTHCARE

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