Slack, Derek E
Slack, Derek E is an individual health care provider with primary practice located at 3801 Bellemeade Ave Ste 110 , Evansville IN 47714-0111. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Slack, Derek E can be contacted via phone (812) 485-7330.Contact Information
Primary practice address
3801 Bellemeade Ave Ste 110
Evansville IN 47714-0111
Phone: (812) 485-7330
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 41000366A | Indiana |
Profile Details
| NPI number | 1437671740 |
|---|---|
| LBN Legal business name | Slack, Derek E |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2017 |
| Last updated | Jul 10th, 2017 - about 7 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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