Everett, Derrick
Everett, Derrick is an sole proprietor health care provider with primary practice located at 3719 Middlebranch Ave Ne 0, Canton OH 44705-5021. He recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as his primary health care specialty. Everett, Derrick can be contacted via phone (330) 327-0965.Contact Information
Primary practice address
3719 Middlebranch Ave Ne 0
Canton OH 44705-5021
Phone: (330) 327-0965
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X |
Profile Details
| NPI number | 1245645811 |
|---|---|
| LBN Legal business name | Everett, Derrick |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2014 |
| Last updated | Jun 23rd, 2014 - about 12 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 | 1245645811 | NPPES |
| Ohio | MEDICAID | 0093085 |
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