Dewitt, Derek

Dewitt, Derek is an sole proprietor health care provider with primary practice located at 1509 Fairmont Ave , Fairmont WV 26554-2135. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Dewitt, Derek can be contacted via phone (304) 363-0050.

Contact Information

Primary practice address
1509 Fairmont Ave Fairmont WV 26554-2135
Phone: (304) 363-0050
Fax: (304) 363-0048
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 003986 West Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X P18077 North Carolina

Profile Details

NPI number 1346735123
LBN Legal business name Dewitt, Derek
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2018
Last updated Sep 29th, 2020 - about 6 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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