Menkedick, Derek J

Menkedick, Derek J is an sole proprietor health care provider with primary practice located at 1975 Miamisburg Centerville Rd , Centerville OH 45459-3811. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Menkedick, Derek J can be contacted via phone (937) 439-6186.

Contact Information

Primary practice address
1975 Miamisburg Centerville Rd Centerville OH 45459-3811
Phone: (937) 439-6186
Fax: (937) 439-6189
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 34.014272 Ohio
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 34.014272 Ohio

Profile Details

NPI number 1699137364
LBN Legal business name Menkedick, Derek J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2016
Last updated Jul 11th, 2024 - about 2 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 1699137364 NPPES
Ohio MEDICAID 0400966

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