Derner, Richard

Derner, Richard is an individual health care provider with primary practice located at 1721 Financial Loop , Lake Ridge VA 22192-2460. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Derner, Richard can be contacted via phone (703) 491-9500.

Contact Information

Primary practice address
1721 Financial Loop Lake Ridge VA 22192-2460
Phone: (703) 491-9500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0103000824 Virginia

Profile Details

NPI number 1932177607
LBN Legal business name Derner, Richard
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jun 13th, 2024 - about last year

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 1932177607 NPPES
Virginia MEDICAID 9301372

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