Lowe, Derek Wayne
Lowe, Derek Wayne is an individual health care provider with primary practice located at 570 Riverstone Way Suite 1 , Fairbanks AK 99709. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Lowe, Derek Wayne can be contacted via phone (907) 455-4350.Contact Information
Primary practice address
570 Riverstone Way Suite 1
Fairbanks AK 99709
Phone: (907) 455-4350
Fax: (907) 455-4370
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 115692 | Alaska |
Profile Details
| NPI number | 1679786172 |
|---|---|
| LBN Legal business name | Lowe, Derek Wayne |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2007 |
| Last updated | Mar 19th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679786172 | NPPES |
| Colorado | MEDICAID | 13703838 |
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