Lucky, Derek
Lucky, Derek is an sole proprietor health care provider with primary practice located at 2831 N White Pines Dr , Coeur D Alene ID 83815-6259. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Lucky, Derek can be contacted via phone (208) 640-3538.Contact Information
Primary practice address
2831 N White Pines Dr
Coeur D Alene ID 83815-6259
Phone: (208) 640-3538
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1467687459 |
|---|---|
| LBN Legal business name | Lucky, Derek |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 20th, 2009 |
| Last updated | May 20th, 2009 - about 17 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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