Derksen, Wilfred
Derksen, Wilfred is an individual health care provider with primary practice located at 1570 E Herndon Ave , Fresno CA 93720-3303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Derksen, Wilfred can be contacted via phone (559) 437-7300.Contact Information
Primary practice address
1570 E Herndon Ave
Fresno CA 93720-3303
Phone: (559) 437-7300
Fax: (559) 437-7153
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | C33691 | California |
Profile Details
| NPI number | 1003801267 |
|---|---|
| LBN Legal business name | Derksen, Wilfred |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Apr 30th, 2008 - about 16 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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