Douglas, Derek
Douglas, Derek is an individual health care provider with primary practice located at 1 Audubon Plaza Dr , Louisville KY 40217-1318. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Douglas, Derek can be contacted via phone (502) 634-6767.Contact Information
Primary practice address
1 Audubon Plaza Dr
Louisville KY 40217-1318
Phone: (502) 634-6767
Fax: (502) 634-6775
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036.156045 | Illinois |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 35.128034 | Ohio |
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 128034 | Ohio |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 54968 | Kentucky |
Profile Details
NPI number | 1154747657 |
---|---|
LBN Legal business name | Douglas, Derek |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 10th, 2014 |
Last updated | Aug 10th, 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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