Prine, Derek

Prine, Derek is an individual health care provider with primary practice located at 1427 69Th Ave , Oakland CA 94621-3456. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pulmonary Function Technologist, which is considered as his primary health care specialty. Prine, Derek can be contacted via phone (209) 485-2848.

Contact Information

Primary practice address
1427 69Th Ave Oakland CA 94621-3456
Phone: (209) 485-2848
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pulmonary Function Technologist 2279P1006X 27699 California

Profile Details

NPI number 1144832718
LBN Legal business name Prine, Derek
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2020
Last updated Nov 21st, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144832718 NPPES
California Other 27699 CALIFORNIA BOARD OF RESPIRATORY CARE LICENSE

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