Eidson, Derick Allen

Eidson, Derick Allen is an sole proprietor health care provider with primary practice located at 19108 County Road 3560 , Ada OK 74820-0177. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Eidson, Derick Allen can be contacted via phone (580) 421-1800.

Contact Information

Primary practice address
19108 County Road 3560 Ada OK 74820-0177
Phone: (580) 421-1800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1811339294
LBN Legal business name Eidson, Derick Allen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2013
Last updated Jul 25th, 2013 - about 13 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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