Miller, Derek Wade
Miller, Derek Wade is an individual health care provider with primary practice located at 3105 Mcclelland Blvd. , Joplin MO 64804-1640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Miller, Derek Wade can be contacted via phone (417) 781-2807.Contact Information
Primary practice address
3105 Mcclelland Blvd.
Joplin MO 64804-1640
Phone: (417) 781-2807
Fax: (417) 781-3309
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 2006002060 | Missouri |
Profile Details
| NPI number | 1699706887 |
|---|---|
| LBN Legal business name | Miller, Derek Wade |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Mar 9th, 2011 - about 13 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 | 1699706887 | NPPES |
| Missouri | MEDICAID | 506033406 |
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