Richardson, Derek M

Richardson, Derek M is an individual health care provider with primary practice located at 315 W 2Nd St , Greenville NC 27834-1969. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Richardson, Derek M can be contacted via phone (252) 507-0588.

Contact Information

Primary practice address
315 W 2Nd St Greenville NC 27834-1969
Phone: (252) 507-0588
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DR.0053968 Colorado
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101248338 Virginia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X DR.0053968 Colorado
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2015-02469 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2015-02469 North Carolina

Profile Details

NPI number 1205061553
LBN Legal business name Richardson, Derek M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2009
Last updated Jan 28th, 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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