Palmer, Derek S.

Palmer, Derek S. is an sole proprietor health care provider with primary practice located at 1707 W Charleston Blvd Ste 160 , Las Vegas NV 89102-2354. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Palmer, Derek S. can be contacted via phone (702) 671-5150.

Contact Information

Primary practice address
1707 W Charleston Blvd Ste 160 Las Vegas NV 89102-2354
Phone: (702) 671-5150
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 26665 Mississippi
Allopathic & Osteopathic Physicians / Surgery 208600000X 313121 Louisiana
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 322143 Louisiana

Profile Details

NPI number 1407290372
LBN Legal business name Palmer, Derek S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2013
Last updated Apr 4th, 2024 - about last year

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 1407290372 NPPES
Louisiana MEDICAID 2332171
Louisiana Other 322143

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