National Provider Identifier Database

MICHAEL I DERRICK, MD – NPI #1275828717
Pediatric Allergy/Immunology


Contact Information

MICHAEL I DERRICK, MD
1272 GARRISON DR
MURFREESBORO, TN37129-2598
Phone: 615-893-4480
Fax: 615-895-6212
Website:
Specialty Taxonomy Code
* Pediatric Allergy/Immunology 2080P0201X

* Indicates primary specialty

NPI Profile & details for MICHAEL I DERRICK

NPI Number 1275828717
Credentials MD
Entity Individual
Enumeration date 06/13/2011
Last updated 07/25/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • KS License #: 04-40205
  • MO License #: 2017023519
  • TN License #: MD65969
Hospital affiliation n/a

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.

Reviews for MICHAEL I DERRICK, MD

There are currently no reviews for MICHAEL I DERRICK, MD


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