Walrod, Derek
Walrod, Derek is an sole proprietor health care provider with primary practice located at 1225 South Poplar Suite 500, North Platte NE 69101. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Walrod, Derek can be contacted via phone (308) 534-8080.Contact Information
Primary practice address
1225 South Poplar Suite 500
North Platte NE 69101
Phone: (308) 534-8080
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 6052 | Nebraska |
Profile Details
| NPI number | 1043442312 |
|---|---|
| LBN Legal business name | Walrod, Derek |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 20th, 2009 |
| Last updated | Aug 20th, 2009 - about 16 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 | 1043442312 | NPPES |
| Nebraska | MEDICAID | 47064373600 |
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