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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1952524449 NPPES
Illinois Other 609330002 MEDICARE
Illinois Other 609080002 MEDICARE
Illinois MEDICAID 036116382 MEDICARE
Illinois Other P00827959 MEDICARE

Popular Providers