Derrick, Brock Anthony

Derrick, Brock Anthony is an individual health care provider with primary practice located at 1255 Pearl St , Eugene OR 97401-3570. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Derrick, Brock Anthony can be contacted via phone (541) 687-6983.

Contact Information

Primary practice address
1255 Pearl St Eugene OR 97401-3570
Phone: (541) 687-6983
Fax: (541) 762-1571
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1538822093
LBN Legal business name Derrick, Brock Anthony
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2021
Last updated Oct 22nd, 2021 - about 4 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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