Pantiel, Derek Tyler

Pantiel, Derek Tyler is an individual health care provider with primary practice located at 1602 Doctors Cir , Wilmington NC 28401-7406. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Pantiel, Derek Tyler can be contacted via phone (910) 343-8889.

Contact Information

Primary practice address
1602 Doctors Cir Wilmington NC 28401-7406
Phone: (910) 343-8889
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 606 North Carolina
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 606 North Carolina
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 606 North Carolina

Profile Details

NPI number 1528353638
LBN Legal business name Pantiel, Derek Tyler
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2011
Last updated Aug 9th, 2022 - about 2 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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