Jane E Derk


Address: 2619 W 11th St Rd, Suite 16, Greeley, CO 80634-5459
Phone: 9703516406

Jane E Derk (NPI# 1518003128, PAC ID# 6103950399) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1518003128
PAC ID by PECOS 6103950399
Professional Enrollment ID I20100810000223
Full Name Jane E Derk
Address 2619 W 11th St Rd
Suite 16
Greeley
CO 80634-5459
Phone Number 9703516406
Gender F
Graduation Year 1983
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
2619 W 11th St Rd, Suite 16, Greeley, CO 80634-5459 9703516406

Organization Information

Office Location

Street Address 2619 W 11TH ST RD
SUITE 16
City GREELEY
State CO
Zip 80634-5459

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Competitor

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City GREELEY
Zip Code 80634
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty GREELEY + PSYCHOLOGIST, CLINICAL

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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