Wenning, Derick M
Wenning, Derick M is an individual health care provider with primary practice located at 250 Hospital Dr , Lexington NC 27292-6792. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Wenning, Derick M can be contacted via phone (336) 716-4625.Contact Information
Primary practice address
250 Hospital Dr
Lexington NC 27292-6792
Phone: (336) 716-4625
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 2011-00547 | North Carolina |
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 207PP0204X | 31019 | South Carolina |
Profile Details
NPI number | 1366603235 |
---|---|
LBN Legal business name | Wenning, Derick M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 23rd, 2008 |
Last updated | Oct 19th, 2021 - about 3 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 | 1366603235 | NPPES |
North Carolina | MEDICAID | 5919684 |
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