Foge, Derrick Allen

Foge, Derrick Allen is an individual health care provider with primary practice located at 3801 Lake Otis Pkwy , Anchorage AK 99508-5234. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Foge, Derrick Allen can be contacted via phone (907) 562-2277.

Contact Information

Primary practice address
3801 Lake Otis Pkwy Anchorage AK 99508-5234
Phone: (907) 562-2277
Fax: (907) 563-3460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD60931360 Washington
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X MD60931360 Washington
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 158235 Alaska

Profile Details

NPI number 1669890216
LBN Legal business name Foge, Derrick Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2014
Last updated Aug 31st, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669890216 NPPES
Washington MEDICAID 1669890216
Washington MEDICAID 1699016

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