Spell, Derrick Wayne

Spell, Derrick Wayne is an individual health care provider with primary practice located at 4950 Essen Ln Suite 500, Baton Rouge LA 70809-3738. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Spell, Derrick Wayne can be contacted via phone (225) 767-1311.

Contact Information

Primary practice address
4950 Essen Ln Suite 500 Baton Rouge LA 70809-3738
Phone: (225) 767-1311
Fax: (225) 767-1335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD.023882 Louisiana

Profile Details

NPI number 1649291667
LBN Legal business name Spell, Derrick Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2006
Last updated Apr 20th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649291667 NPPES
Louisiana MEDICAID 1485918

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