Irwin, Derek A.

Irwin, Derek A. is an individual health care provider with primary practice located at 225 Ne 97Th St , Oklahoma City OK 73114-6302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Irwin, Derek A. can be contacted via phone (405) 842-2061.

Contact Information

Primary practice address
225 Ne 97Th St Oklahoma City OK 73114-6302
Phone: (405) 842-2061
Fax: (405) 842-3146
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 19794 Oklahoma

Profile Details

NPI number 1184603300
LBN Legal business name Irwin, Derek A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2006
Last updated Jul 1st, 2015 - about 9 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 1184603300 NPPES
Arkansas MEDICAID 154966001
Arkansas MEDICAID 100824700A
Arkansas Other 731193626002

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