Ladeairous, Derrick

Ladeairous, Derrick is an individual health care provider with primary practice located at 1732 W Genesee St , Syracuse NY 13204. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Ladeairous, Derrick can be contacted via phone (631) 974-1849.

Contact Information

Primary practice address
1732 W Genesee St Syracuse NY 13204
Phone: (631) 974-1849
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X X013188 New York

Profile Details

NPI number 1407327448
LBN Legal business name Ladeairous, Derrick
Credentials DR.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2018
Last updated Mar 6th, 2019 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1407327448 NPPES
New York Other 1467755751 GROUP NPI

Popular Providers