Victorian, Derrick L
Victorian, Derrick L is an sole proprietor health care provider with primary practice located at 917 Sherwood Dr , Lake Bluff IL 60044-2224. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Victorian, Derrick L can be contacted via phone (877) 486-4140.Contact Information
Primary practice address
917 Sherwood Dr
Lake Bluff IL 60044-2224
Phone: (877) 486-4140
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1508471830 |
|---|---|
| LBN Legal business name | Victorian, Derrick L |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2020 |
| Last updated | Sep 14th, 2020 - about 6 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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