Dervish, Ahmet

Dervish, Ahmet is an individual health care provider with primary practice located at 2845 Greenbrier Rd Ste 340 , Green Bay WI 54311-6519. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Dervish, Ahmet can be contacted via phone (920) 288-8380.

Contact Information

Primary practice address
2845 Greenbrier Rd Ste 340 Green Bay WI 54311-6519
Phone: (920) 288-8380
Fax: (920) 288-8385
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 33794 Wisconsin

Profile Details

NPI number 1104854462
LBN Legal business name Dervish, Ahmet
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Aug 29th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104854462 NPPES
Michigan MEDICAID 104365449
Michigan Other 050080452
Michigan MEDICAID 32021400

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