Derr, Edison

Derr, Edison is an sole proprietor health care provider with primary practice located at 2214 Maple St , Saint Joseph MO 64507-1413. 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. Derr, Edison can be contacted via phone (419) 651-2323.

Contact Information

Primary practice address
2214 Maple St Saint Joseph MO 64507-1413
Phone: (419) 651-2323
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2013032471 Missouri

Profile Details

NPI number 1861873952
LBN Legal business name Derr, Edison
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2015
Last updated Jun 15th, 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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