Derick, Robert J

Derick, Robert J is an individual health care provider with primary practice located at 855 W Market St Ste A, Lima OH 45805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Derick, Robert J can be contacted via phone (419) 228-7432.

Contact Information

Primary practice address
855 W Market St Ste A Lima OH 45805
Phone: (419) 228-7432
Fax: (419) 228-5628
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 55895 Ohio

Profile Details

NPI number 1922076181
LBN Legal business name Derick, Robert J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 8th, 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 1922076181 NPPES
Ohio MEDICAID L0837689

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