Hendrickson, Derek
Hendrickson, Derek is an individual health care provider with primary practice located at 1200 Sixth St Ste 200 , Traverse City MI 49684-2369. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Hendrickson, Derek can be contacted via phone (231) 935-5800.Contact Information
Primary practice address
1200 Sixth St Ste 200
Traverse City MI 49684-2369
Phone: (231) 935-5800
Fax: (231) 935-5799
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 5601009719 | Michigan |
Profile Details
| NPI number | 1043857196 |
|---|---|
| LBN Legal business name | Hendrickson, Derek |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 9th, 2019 |
| Last updated | Mar 15th, 2021 - 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.
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