Fimmen, Derek Lee
Fimmen, Derek Lee is an individual health care provider with primary practice located at 70 Doctors Park , Cape Girardeau MO 63703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Fimmen, Derek Lee can be contacted via phone (573) 334-6071.Contact Information
Primary practice address
70 Doctors Park
Cape Girardeau MO 63703
Phone: (573) 334-6071
Fax: (573) 334-4739
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 2008019694 | Missouri |
Profile Details
NPI number | 1952524449 |
---|---|
LBN Legal business name | Fimmen, Derek Lee |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 11th, 2007 |
Last updated | Apr 29th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1952524449 | NPPES |
Illinois | Other | 609330002 | MEDICARE |
Illinois | Other | 609080002 | MEDICARE |
Illinois | MEDICAID | 036116382 | MEDICARE |
Illinois | Other | P00827959 | MEDICARE |
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