Umphlett, Derrick Clifton
Umphlett, Derrick Clifton is an individual health care provider with primary practice located at 2400 S Avenue A , Yuma AZ 85364-7170. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Umphlett, Derrick Clifton can be contacted via phone (928) 344-2000.Contact Information
Primary practice address
2400 S Avenue A
Yuma AZ 85364-7170
Phone: (928) 344-2000
Fax: (928) 336-7430
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 35861 | Arizona |
Profile Details
| NPI number | 1417968538 |
|---|---|
| LBN Legal business name | Umphlett, Derrick Clifton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Dec 30th, 2020 - 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 | 1417968538 | NPPES |
| Arizona | MEDICAID | 125213 |
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