Williams, Derrick H
Williams, Derrick H is an individual health care provider with primary practice located at 305 Estill St 4Th Floor, Berea KY 40403-1742. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Williams, Derrick H can be contacted via phone (859) 986-2343.Contact Information
Primary practice address
305 Estill St 4Th Floor
Berea KY 40403-1742
Phone: (859) 986-2343
Fax: (859) 986-2344
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 03671 | Kentucky |
Profile Details
| NPI number | 1780966408 |
|---|---|
| LBN Legal business name | Williams, Derrick H |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2011 |
| Last updated | May 8th, 2019 - about 5 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 | 1780966408 | NPPES |
| Kentucky | MEDICAID | 7100253400 |
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