Derrick, Jordan
Derrick, Jordan is an sole proprietor health care provider with primary practice located at 6312 73Rd St Apt 1510, Lubbock TX 79424-1955. 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. Derrick, Jordan can be contacted via phone (940) 597-4010.Contact Information
Primary practice address
6312 73Rd St Apt 1510
Lubbock TX 79424-1955
Phone: (940) 597-4010
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
| NPI number | 1013457373 |
|---|---|
| LBN Legal business name | Derrick, Jordan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 6th, 2017 |
| Last updated | Mar 6th, 2017 - about 9 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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