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Contact Information

DEREK K SEAQUIST, MD
2222 N NEVADA AVE
COLORADO SPRINGS, CO80907-6819
 Phone: 719-776-5816
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for DEREK K SEAQUIST · (Male)

NPI # 1487619532
Status Active
Credentials MD
Entity Individual
Enumeration date 04/20/2006
Last updated 02/22/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # 0056992
  • NE License # 22764
  • CO Medicaid 9000146429
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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