Dery, Fred J

Dery, Fred J is an individual health care provider with primary practice located at 2751 Northgate Dr , Iowa City IA 52245-9509. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Dery, Fred J can be contacted via phone (319) 338-3606.

Contact Information

Primary practice address
2751 Northgate Dr Iowa City IA 52245-9509
Phone: (319) 338-3606
Fax: (319) 338-0522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 38968 Iowa
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 38968 Iowa

Profile Details

NPI number 1457569188
LBN Legal business name Dery, Fred J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Oct 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457569188 NPPES
Iowa Other I75560005 MEDICARE PTAN
Iowa MEDICAID 1457569188 MEDICARE PTAN

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