Ellingson, Derek
Ellingson, Derek is an individual health care provider with primary practice located at 7950 W Jefferson Blvd , Fort Wayne IN 46804-4140. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Ellingson, Derek can be contacted via phone (260) 435-7001.Contact Information
Primary practice address
7950 W Jefferson Blvd
Fort Wayne IN 46804-4140
Phone: (260) 435-7001
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | DO05260 | Iowa |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MEDO7423 | Alaska |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 2007018750 | Missouri |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 02006527A | Indiana |
Profile Details
| NPI number | 1487848644 |
|---|---|
| LBN Legal business name | Ellingson, Derek |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2007 |
| Last updated | Aug 25th, 2021 - 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.
Popular Providers
-
Wang, Qi
11109 Parkview Plaza Dr , Fort Wayne IN 46845-1701 -
Hui, Ling
11109 Parkview Plaza Dr , Fort Wayne IN 46845-1701 -
Ranasinghe, Sisira
228D E Collins Rd , Fort Wayne IN 46825-5304 -
Osman, Hany
7881 Carnegie Blvd , Fort Wayne IN 46804 -
Henry, Keith Allen
7950 W Jefferson Blvd , Fort Wayne IN 46804-4140 -
Singh, Rohit Inder
11109 Parkview Plaza Dr , Fort Wayne IN 46845 -
Squires, Jeffrey P
7950 W Jefferson Blvd , Fort Wayne IN 46804-4140 -
Sorensen, Sorensen Marie
2121 Lake Ave Va Nihcs Lab 113, Fort Wayne IN 46805-5100