Derrick, John Burton
Derrick, John Burton is an sole proprietor health care provider with primary practice located at 300 Arlington Dr , Vidalia GA 30474-0645. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Derrick, John Burton can be contacted via phone (912) 538-0830.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 01655 | Georgia |
Profile Details
| NPI number | 1932253606 |
|---|---|
| LBN Legal business name | Derrick, John Burton |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Mar 7th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932253606 | NPPES |
| Georgia | Other | 01655 | LICENSE |
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