Goodyear, Derek R

Goodyear, Derek R is an individual health care provider with primary practice located at 200 Exempla Cir , Lafayette CO 80026-3370. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Goodyear, Derek R can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
200 Exempla Cir Lafayette CO 80026-3370
Phone: (303) 338-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X DR.0063620 Colorado
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DR.0063620 Colorado
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 34.012825 Ohio
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS017874 Pennsylvania

Profile Details

NPI number 1144632274
LBN Legal business name Goodyear, Derek R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2014
Last updated Apr 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144632274 NPPES
Colorado Other 029013 KAISER COMMERCIAL NUMBER

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