Derry, Aaron J

Derry, Aaron J is an sole proprietor health care provider with primary practice located at 500 West Broadway , Missoula MT 59802-4008. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Derry, Aaron J can be contacted via phone (406) 721-5600.

Contact Information

Primary practice address
500 West Broadway Missoula MT 59802-4008
Phone: (406) 721-5600
Fax: (406) 721-3907
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 402 Montana
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 402 Montana
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MED-PAC-LIC-402 Montana

Profile Details

NPI number 1093755886
LBN Legal business name Derry, Aaron J
Credentials PAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2006
Last updated May 24th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093755886 NPPES
Montana MEDICAID 4304287

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