DR. D.O. J. Derek Hollingsworth, NPI 1336192269
Addiction Medicine (Family Medicine) Physician in Millwood, WV, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1336192269 |
| NPI Entity Type | Individual |
| Provider Name | DR. D.O. J. Derek Hollingsworth |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 6775 Point Pleasant Rd, Millwood, WV, US |
| Provider Mailing Address | 6775 Point Pleasant Rd, Millwood, WV, US, 252628100 |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Addiction Medicine (Family Medicine) Physician |
| Classification | |
| Group | |
| License No. | 27036 |
| License State | MT |
| Description | A family medicine physician who specializes in the diagnosis and treatment of addictions. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 34007332 | OH | No | |||
| 2360 | WV | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 2246895 | OH | MOLINA MEDICAID | 01 |
| 000000185452 | OH | UNISON MEDICAID | 01 |
| 3002978000 | WV | MEDICAID | 05 |
| 27036 | MT | STATE LICENSE | 01 |
| 930106977 | RR MEDICARE | 01 | |
| 1336192269 | NPI | 01 | |
| 001714124 | MOUNTAIN STATE BCBS | 01 | |
| 516066972 | OH | TRI CARE | 01 |
| 000000205910 | ANTHEM BCBS | 01 |
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