Duke, Derek A
Duke, Derek A is an individual health care provider with primary practice located at 861 Coronado Center Dr Suite 200, Henderson NV 89052. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Duke, Derek A can be contacted via phone (702) 896-0940.Contact Information
Primary practice address
861 Coronado Center Dr Suite 200
Henderson NV 89052
Phone: (702) 896-0940
Fax: (702) 896-6173
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 8979 | Nevada |
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 36583 | Arizona |
Profile Details
| NPI number | 1619934916 |
|---|---|
| LBN Legal business name | Duke, Derek A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2006 |
| Last updated | Jul 20th, 2015 - about 9 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 | 1619934916 | NPPES |
| Nevada | Other | 140006030 | RAILROAD MEDICARE |
| Nevada | MEDICAID | 1619934916 | RAILROAD MEDICARE |
| Nevada | MEDICAID | 468662 | RAILROAD MEDICARE |
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