Duffield, Derrick R.
Duffield, Derrick R. is an sole proprietor health care provider with primary practice located at 105 Thornhill Dr , Hattiesburg MS 39402-1548. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Duffield, Derrick R. can be contacted via phone (601) 261-3737.Contact Information
Primary practice address
105 Thornhill Dr
Hattiesburg MS 39402-1548
Phone: (601) 261-3737
Fax: (601) 579-5240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 15467 | Mississippi |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 15467 | Mississippi |
Profile Details
| NPI number | 1922166867 |
|---|---|
| LBN Legal business name | Duffield, Derrick R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 4th, 2006 |
| Last updated | Aug 11th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922166867 | NPPES |
| Mississippi | MEDICAID | 00121060 | |
| Mississippi | MEDICAID | 1030945 |
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