Hamblin, Derek B

Hamblin, Derek B is an individual health care provider with primary practice located at 4815 Cleveland Blvd , Caldwell ID 83605-6501. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Hamblin, Derek B can be contacted via phone (208) 455-3545.

Contact Information

Primary practice address
4815 Cleveland Blvd Caldwell ID 83605-6501
Phone: (208) 455-3545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M-11020 Idaho
Other Service Providers / Specialist 174400000X MD23651 Oregon

Profile Details

NPI number 1790713204
LBN Legal business name Hamblin, Derek B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Mar 26th, 2019 - about 7 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 1790713204 NPPES
Oregon Other P00479099 MEDICARE RAILROAD

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