Quella, Derek

Quella, Derek is an sole proprietor health care provider with primary practice located at 2000 Domanik Dr , Racine WI 53404-2910. He recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as his primary health care specialty. Quella, Derek can be contacted via phone (262) 633-4800.

Contact Information

Primary practice address
2000 Domanik Dr Racine WI 53404-2910
Phone: (262) 633-4800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 176284-30 Wisconsin

Profile Details

NPI number 1821345455
LBN Legal business name Quella, Derek
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2012
Last updated May 15th, 2013 - about 13 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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