Davis, Derrick
Davis, Derrick is an sole proprietor health care provider with primary practice located at 18286 Boxelder Dr , Brownstown MI 48174-9261. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Davis, Derrick can be contacted via phone (734) 229-1514.Contact Information
Primary practice address
18286 Boxelder Dr
Brownstown MI 48174-9261
Phone: (734) 229-1514
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4704235173 | Michigan |
Profile Details
| NPI number | 1245612621 |
|---|---|
| LBN Legal business name | Davis, Derrick |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2015 |
| Last updated | Jun 23rd, 2015 - about 11 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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