Davis, Derrick

Davis, Derrick is an individual health care provider with primary practice located at 1063 Duckwood Dr Apt 205 , Eagan MN 55123-1206. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Davis, Derrick can be contacted via phone (612) 518-6455.

Contact Information

Primary practice address
1063 Duckwood Dr Apt 205 Eagan MN 55123-1206
Phone: (612) 518-6455
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2527 Minnesota

Profile Details

NPI number 1801203609
LBN Legal business name Davis, Derrick
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2014
Last updated Jul 14th, 2014 - about 12 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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