Sloan Jr, Derrick Le'Mon
Sloan Jr, Derrick Le'Mon is an individual health care provider with primary practice located at 900 N 7Th St , West Memphis AR 72301-2001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Sloan Jr, Derrick Le'Mon can be contacted via phone (574) 943-5094.Contact Information
Primary practice address
900 N 7Th St
West Memphis AR 72301-2001
Phone: (574) 943-5094
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | IS456210 | Arkansas |
Profile Details
NPI number | 1619625522 |
---|---|
LBN Legal business name | Sloan Jr, Derrick Le'Mon |
Credentials | MD SLOAN |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 10th, 2022 |
Last updated | Mar 10th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1619625522 | NPPES |
Arkansas | MEDICAID | 4642271023 |
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