Jack O Derks MD

  • NPI 1134144413
According to our database, the NPI number for Jack O Derks MD is 1134144413 and activated since 17 years ago. Jack O Derks MD is an individual provider who specializes in Family Medicine, and the primary practice location is 601 Michigan Ave Ste 104, Holland, MI 49423. You can also contact Jack O Derks MD via telephone number is (616) 392-2361. Provider NPI information was last updated on 12/11/2007.

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Overview of Jack O Derks MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/13/2006
  • Last updated: 12/11/2007

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 4301028907
  • License State: MI

Provider Mailing Address

  • Address: 601 Michigan Ave Ste 104
    Holland, MI 49423
  • Phone: 616-392-2361
  • Fax: 616-392-2364

Provider Practice Location

  • Address: 601 Michigan Ave Ste 104
    Holland, MI 49423
  • Phone: 616-392-2361
  • Fax: 616-392-2364

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 4301028907
  • License State: MI
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 101138661
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: MI
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jack O Derks MD?
  • A: The npi number for Jack O Derks MD is 1134144413.
  • Q: What are Jack O Derks MD's specialties?
  • A: Jack O Derks MD's specialties are Family Medicine and different specialities.
  • Q: What is the medical license for Jack O Derks MD?
  • A: The medical license number for Jack O Derks MD is 4301028907 and issued in MI in USA.
  • Q: Where is Jack O Derks MD practice location?
  • A: Jack O Derks MD is practicing at 601 Michigan Ave Ste 104, Holland, MI 49423.
  • Q: How to contact Jack O Derks MD?
  • A: You can contact Jack O Derks MD via 616-392-2361.