West, Derek M

West, Derek M is an individual health care provider with primary practice located at 520 Mary St Ste 520 , Evansville IN 47710-1682. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. West, Derek M can be contacted via phone (812) 424-8231.

Contact Information

Primary practice address
520 Mary St Ste 520 Evansville IN 47710-1682
Phone: (812) 424-8231
Fax: (812) 435-8794
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 71003054A Indiana

Profile Details

NPI number 1164756664
LBN Legal business name West, Derek M
Credentials ACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2009
Last updated Mar 5th, 2024 - about last year

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 1164756664 NPPES
Kentucky MEDICAID 7100101320
Kentucky Other 71003054A
Kentucky MEDICAID 200975230
Kentucky Other 000000637973

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