Sorweide, Derrick John
Sorweide, Derrick John is an sole proprietor health care provider with primary practice located at 200 Mullins Dr , Lebanon OR 97355-3983. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Sorweide, Derrick John can be contacted via phone (514) 259-0216.Contact Information
Primary practice address
200 Mullins Dr
Lebanon OR 97355-3983
Phone: (514) 259-0216
Fax: (541) 259-0680
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DO20800 | Oregon |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | DO20800 | Oregon |
Profile Details
| NPI number | 1497721625 |
|---|---|
| LBN Legal business name | Sorweide, Derrick John |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Mar 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497721625 | NPPES |
| Oregon | MEDICAID | 135288 |
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