Fansler, Derrick Roth

Fansler, Derrick Roth is an sole proprietor health care provider with primary practice located at 2222 N Nevada Ave Suite 4007, Colorado Springs CO 80907. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Fansler, Derrick Roth can be contacted via phone (719) 776-8500.

Contact Information

Primary practice address
2222 N Nevada Ave Suite 4007 Colorado Springs CO 80907
Phone: (719) 776-8500
Fax: (719) 634-1448
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 53906 Colorado
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X DR.0053906 Colorado

Profile Details

NPI number 1760626519
LBN Legal business name Fansler, Derrick Roth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2009
Last updated Sep 7th, 2018 - about 6 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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