Walker, Derrick James
Walker, Derrick James is an individual health care provider with primary practice located at 190 Marcell Dr Ne , Rockford MI 49341-1300. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Walker, Derrick James can be contacted via phone (616) 884-5884.Contact Information
Primary practice address
190 Marcell Dr Ne
Rockford MI 49341-1300
Phone: (616) 884-5884
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2901600184 | Michigan |
Profile Details
| NPI number | 1770143471 |
|---|---|
| LBN Legal business name | Walker, Derrick James |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2019 |
| Last updated | Jun 17th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770143471 | NPPES |
| Michigan | Other | 2901600184 | MICHIGAN DENTAL LICENSE |
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