Peery, Dereck A.

Peery, Dereck A. is an individual health care provider with primary practice located at 915 10Th Ave Nw , Ardmore OK 73401-4025. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Peery, Dereck A. can be contacted via phone (580) 223-7200.

Contact Information

Primary practice address
915 10Th Ave Nw Ardmore OK 73401-4025
Phone: (580) 223-7200
Fax: (580) 223-7207
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 4546 Oklahoma

Profile Details

NPI number 1164543203
LBN Legal business name Peery, Dereck A.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated Jul 23rd, 2009 - about 16 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 1164543203 NPPES
Oklahoma Other OK700279 INDIVIDUAL PTAN
Oklahoma MEDICAID 200124470A INDIVIDUAL PTAN
Oklahoma Other P00442554 INDIVIDUAL PTAN

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