Neilson, Derek E

Neilson, Derek E is an individual health care provider with primary practice located at 1920 E Cambridge Ave Ste 304 , Phoenix AZ 85006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), which is considered as his primary health care specialty. Neilson, Derek E can be contacted via phone (602) 933-4363.

Contact Information

Primary practice address
1920 E Cambridge Ave Ste 304 Phoenix AZ 85006
Phone: (602) 933-4363
Fax: (602) 933-2415
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 35-083650 Ohio
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 56355 Arizona

Profile Details

NPI number 1548293822
LBN Legal business name Neilson, Derek E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Jul 10th, 2018 - 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 1548293822 NPPES
Ohio Other 000000224312 UNISON
Ohio Other 000000340115 UNISON
Ohio MEDICAID 2499952 UNISON
Ohio Other 7841606 UNISON
Ohio Other 000000529594 UNISON
Ohio Other 363878 UNISON
Ohio Other 745996 UNISON

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