Carbajal, Derek Jonathan
Carbajal, Derek Jonathan is an sole proprietor health care provider with primary practice located at 3921 W Baseline Rd , Laveen AZ 85339-1801. He recently has only one registered license in Nursing Service Providers / School, which is considered as his primary health care specialty. Carbajal, Derek Jonathan can be contacted via phone (602) 764-4000.Contact Information
Primary practice address
3921 W Baseline Rd
Laveen AZ 85339-1801
Phone: (602) 764-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / School | 163WS0200X | RN205388 | Arizona |
Profile Details
| NPI number | 1083499925 |
|---|---|
| LBN Legal business name | Carbajal, Derek Jonathan |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2023 |
| Last updated | Aug 29th, 2023 - about 3 years ago |
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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