Derlet, Mikla Nina
Derlet, Mikla Nina is an individual health care provider with primary practice located at 2516 Stockton Blvd Department Of Pediatrics, Sacramento CA 95817-2208. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Derlet, Mikla Nina can be contacted via phone (916) 734-5387.Contact Information
Primary practice address
2516 Stockton Blvd Department Of Pediatrics
Sacramento CA 95817-2208
Phone: (916) 734-5387
Fax: (916) 456-2236
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A77577 | California |
Profile Details
NPI number | 1154323715 |
---|---|
LBN Legal business name | Derlet, Mikla Nina |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 12th, 2005 |
Last updated | May 9th, 2016 - about 9 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 | 1154323715 | NPPES |
California | MEDICAID | 00A775770 |
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