Oldham, Derek Alexander
Oldham, Derek Alexander is an individual health care provider with primary practice located at 18077 River Rd Ste 104A , Noblesville IN 46062-8311. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Oldham, Derek Alexander can be contacted via phone (317) 674-0208.Contact Information
Primary practice address
18077 River Rd Ste 104A
Noblesville IN 46062-8311
Phone: (317) 674-0208
Fax: (317) 674-0210
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01059574A | Indiana |
Profile Details
| NPI number | 1346338894 |
|---|---|
| LBN Legal business name | Oldham, Derek Alexander |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Mar 29th, 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 | 1346338894 | NPPES |
| Indiana | Other | 000000665052 | ANTHEM - FMC |
| Indiana | Other | 000000622151 | ANTHEM - FMC |
| Indiana | Other | 000000693155 | ANTHEM - FMC |
| Indiana | MEDICAID | 200946890 | ANTHEM - FMC |
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