Davis, Derek R.

Davis, Derek R. is an sole proprietor health care provider with primary practice located at 604 W 10Th St , Wilmington DE 19801-1424. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Davis, Derek R. can be contacted via phone (302) 737-4100.

Contact Information

Primary practice address
604 W 10Th St Wilmington DE 19801-1424
Phone: (302) 737-4100
Fax: (302) 655-5030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 123126 Delaware
Behavioral Health & Social Service Providers / Professional 101YP2500X PC002803 Pennsylvania

Profile Details

NPI number 1619299369
LBN Legal business name Davis, Derek R.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2010
Last updated Feb 23rd, 2010 - about 15 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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