Blazquez, Dereck G
Blazquez, Dereck G is an individual health care provider with primary practice located at 3000 Windy Hill Rd Se Ste 204 , Marietta GA 30067-8430. He recently has only one registered license in Chiropractic Providers / Neurology, which is considered as his primary health care specialty. Blazquez, Dereck G can be contacted via phone (770) 988-8884.Contact Information
Primary practice address
3000 Windy Hill Rd Se Ste 204
Marietta GA 30067-8430
Phone: (770) 988-8884
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Neurology | 111NN0400X | CHIR010849 | Georgia |
Profile Details
| NPI number | 1407661945 |
|---|---|
| LBN Legal business name | Blazquez, Dereck G |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 11th, 2025 |
| Last updated | Feb 11th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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