Derrick, Michael Ian

Derrick, Michael Ian is an individual health care provider with primary practice located at 1272 Garrison Dr , Murfreesboro TN 37129-2598. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology, which is considered as his primary health care specialty. Derrick, Michael Ian can be contacted via phone (615) 893-4480.

Contact Information

Primary practice address
1272 Garrison Dr Murfreesboro TN 37129-2598
Phone: (615) 893-4480
Fax: (615) 895-6212
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X 04-40205 Kansas
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X 2017023519 Missouri
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X MD65969 Tennessee

Profile Details

NPI number 1275828717
LBN Legal business name Derrick, Michael Ian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2011
Last updated Jul 25th, 2022 - about 3 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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