Smith, Derek

Smith, Derek is an sole proprietor health care provider with primary practice located at 809 Iroquois Cir , Baraboo WI 53913-1248. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Smith, Derek can be contacted via phone (608) 408-0065.

Contact Information

Primary practice address
809 Iroquois Cir Baraboo WI 53913-1248
Phone: (608) 408-0065
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4980 Wisconsin
Chiropractic Providers / Chiropractor 111N00000X 2650 Tennessee
Chiropractic Providers / Chiropractor 111N00000X 2013007171 Missouri

Profile Details

NPI number 1518375682
LBN Legal business name Smith, Derek
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2014
Last updated Aug 1st, 2014 - about 12 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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