Derieg, Marta L

Derieg, Marta L is an sole proprietor health care provider with primary practice located at 76-6225 Kuakini Hwy Ste C101, Kailua Kona HI 96740-3212. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Derieg, Marta L can be contacted via phone (808) 329-7067.

Contact Information

Primary practice address
76-6225 Kuakini Hwy Ste C101 Kailua Kona HI 96740-3212
Phone: (808) 329-7067
Fax: (808) 329-2404
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD10708 Hawaii
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X MD10708 Hawaii

Profile Details

NPI number 1538124979
LBN Legal business name Derieg, Marta L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2006
Last updated Dec 3rd, 2013 - about 11 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 1538124979 NPPES
Hawaii MEDICAID 49585501

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