Friedlan, Derek
Friedlan, Derek is an sole proprietor health care provider with primary practice located at 501 S Burma Ave , Gillette WY 82716-3426. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Friedlan, Derek can be contacted via phone (307) 688-5007.Contact Information
Primary practice address
501 S Burma Ave
Gillette WY 82716-3426
Phone: (307) 688-5007
Fax: (307) 688-5015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
| NPI number | 1083222483 |
|---|---|
| LBN Legal business name | Friedlan, Derek |
| Credentials | BS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2020 |
| Last updated | Jul 21st, 2020 - about 5 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 | 1083222483 | NPPES |
| Wyoming | MEDICAID | 830234097 |
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