Earl, Derek Ted
Earl, Derek Ted is an individual health care provider with primary practice located at 600 Nw 11Th St Suite E-15, Hermiston OR 97838-8602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Earl, Derek Ted can be contacted via phone (541) 567-6434.Contact Information
Primary practice address
600 Nw 11Th St Suite E-15
Hermiston OR 97838-8602
Phone: (541) 567-6434
Fax: (541) 567-6019
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DO23298 | Oregon |
Profile Details
| NPI number | 1538241799 |
|---|---|
| LBN Legal business name | Earl, Derek Ted |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Apr 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538241799 | NPPES |
| Oregon | MEDICAID | 298007 |
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