Derck, Dennis D.

Derck, Dennis D. is an individual health care provider with primary practice located at 385 State St , Sunbury PA 17801-2531. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Derck, Dennis D. can be contacted via phone (570) 286-6773.

Contact Information

Primary practice address
385 State St Sunbury PA 17801-2531
Phone: (570) 286-6773
Fax: (570) 286-7967
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X OS008868L Pennsylvania

Profile Details

NPI number 1831165992
LBN Legal business name Derck, Dennis D.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Aug 19th, 2020 - about 5 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 1831165992 NPPES
Pennsylvania MEDICAID 001705510

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