Derrick, James L

Derrick, James L is an individual health care provider with primary practice located at 1802 Braeburn Dr , Salem VA 24153-7357. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Derrick, James L can be contacted via phone (540) 772-3530.

Contact Information

Primary practice address
1802 Braeburn Dr Salem VA 24153-7357
Phone: (540) 772-3530
Fax: (540) 776-2036
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0110008289 Virginia

Profile Details

NPI number 1457459448
LBN Legal business name Derrick, James L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Mar 3rd, 2022 - 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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