Williamson, Derrick
Williamson, Derrick is an individual health care provider with primary practice located at 20755 Greenfield Rd Ste 100 , Southfield MI 48075-5400. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Williamson, Derrick can be contacted via phone (947) 282-5009.Contact Information
Primary practice address
20755 Greenfield Rd Ste 100
Southfield MI 48075-5400
Phone: (947) 282-5009
Fax: (248) 809-2319
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | DW009333 | Michigan |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5101009333 | Michigan |
Profile Details
| NPI number | 1215922059 |
|---|---|
| LBN Legal business name | Williamson, Derrick |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2005 |
| Last updated | Nov 2nd, 2022 - about 2 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 | 1215922059 | NPPES |
| Michigan | MEDICAID | 1215922059 | |
| Michigan | MEDICAID | 437095911 |
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