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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538124979 | NPPES |
| Hawaii | MEDICAID | 49585501 |
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