Sebade, Derek

Sebade, Derek is an individual health care provider with primary practice located at 20040 N 19Th Ave Suite A, Phoenix AZ 85027-4255. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Sebade, Derek can be contacted via phone (623) 869-5000.

Contact Information

Primary practice address
20040 N 19Th Ave Suite A Phoenix AZ 85027-4255
Phone: (623) 869-5000
Fax: (623) 869-0927
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN082334 Arizona

Profile Details

NPI number 1376544924
LBN Legal business name Sebade, Derek
Credentials ANPC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2005
Last updated Dec 21st, 2012 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1376544924 NPPES
Arizona MEDICAID 61944

Popular Providers