DR. D.O. J. Derek Hollingsworth, NPI 1336192269
Addiction Medicine (Family Medicine) Physician in Millwood, WV, US

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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
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Primary Taxonomy

Taxonomy Code

207QA0401X

Taxonomy Name Addiction Medicine (Family Medicine) Physician
Classification

Family Medicine

Group

Allopathic & Osteopathic Physicians

License No. 27036
License State MT
Description A family medicine physician who specializes in the diagnosis and treatment of addictions.

Business Address

DR. D.O. J. Derek Hollingsworth
6775 Point Pleasant Rd

Millwood, WV, US

Phone: 304-273-0112
Fax: 304-273-0115

Mailing Address

DR. D.O. J. Derek Hollingsworth
6775 Point Pleasant Rd
Millwood, WV, US
ZIP 252628100
Phone: 304-273-0112
Fax: 304-273-0115

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207Q00000X

Allopathic & Osteopathic Physicians

Family Medicine

34007332 OH No

207Q00000X

Allopathic & Osteopathic Physicians

Family Medicine

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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