Individual
JANE MARIE DERRIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2000 MEADE PARKWAY, SUFFOLK, VA 23434-4259
(757) 539-0251
(757) 923-9657
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
0102049955
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6039006
—
VA
01
—
660000963
RAILROAD MEDICARE
VA
05
—
7906551
—
NC
Enumeration date
04/07/2006
Last updated
03/05/2013
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