Vaughn, Derrick Lee

Vaughn, Derrick Lee is an sole proprietor health care provider with primary practice located at 209 Division Ave S Apt 107 , Grand Rapids MI 49503-4547. He recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as his primary health care specialty. Vaughn, Derrick Lee can be contacted via phone (313) 974-9107.

Contact Information

Primary practice address
209 Division Ave S Apt 107 Grand Rapids MI 49503-4547
Phone: (313) 974-9107
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1770259459
LBN Legal business name Vaughn, Derrick Lee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2021
Last updated Aug 21st, 2021 - about 5 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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