Norlund, John Derxson
Norlund, John Derxson is an individual health care provider with primary practice located at 550 Orchard Park Rd A100, West Seneca NY 14224-2646. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Norlund, John Derxson can be contacted via phone (716) 674-6800.Contact Information
Primary practice address
550 Orchard Park Rd A100
West Seneca NY 14224-2646
Phone: (716) 674-6800
Fax: (716) 674-6804
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 139408 | New York |
Profile Details
| NPI number | 1699875583 |
|---|---|
| LBN Legal business name | Norlund, John Derxson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Oct 25th, 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 | 1699875583 | NPPES |
| New York | MEDICAID | 01030735 |
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