Decluett, Derek Troy
Decluett, Derek Troy is an individual health care provider with primary practice located at 4002 Warrensville Center Rd , Beachwood OH 44122-6771. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Decluett, Derek Troy can be contacted via phone (216) 561-8300.Contact Information
Primary practice address
4002 Warrensville Center Rd
Beachwood OH 44122-6771
Phone: (216) 561-8300
Fax: (216) 561-8301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | Ohio |
Profile Details
| NPI number | 1356972376 |
|---|---|
| LBN Legal business name | Decluett, Derek Troy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 29th, 2020 |
| Last updated | Jan 29th, 2020 - about 6 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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