Parker, Derek John William

Parker, Derek John William is an individual health care provider with primary practice located at 10630 Clemson Blvd Suite 100, Seneca SC 29678-4546. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Parker, Derek John William can be contacted via phone (864) 482-6000.

Contact Information

Primary practice address
10630 Clemson Blvd Suite 100 Seneca SC 29678-4546
Phone: (864) 482-6000
Fax: (864) 482-7000
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1057877 NCCPA
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1839 South Carolina

Profile Details

NPI number 1548318223
LBN Legal business name Parker, Derek John William
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Jun 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548318223 NPPES
South Carolina MEDICAID 1544PA

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