Swartzentruber, Derrick

Swartzentruber, Derrick is an individual health care provider with primary practice located at 701 Grove Rd Fl 1 , Greenville SC 29605-4210. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Swartzentruber, Derrick can be contacted via phone (864) 455-7899.

Contact Information

Primary practice address
701 Grove Rd Fl 1 Greenville SC 29605-4210
Phone: (864) 455-7899
Fax: (864) 455-5474
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 52284 South Carolina
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 52284 South Carolina

Profile Details

NPI number 1649666827
LBN Legal business name Swartzentruber, Derrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2015
Last updated Dec 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649666827 NPPES
South Carolina MEDICAID 522848

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