Webster, Dericka
Webster, Dericka is an sole proprietor health care provider with primary practice located at 4690 Greenleaf Cir Sw , Atlanta GA 30331-7142. She recently has only one registered license in Agencies / Nursing Care, which is considered as her primary health care specialty. Webster, Dericka can be contacted via phone (167) 843-7061.Contact Information
Primary practice address
4690 Greenleaf Cir Sw
Atlanta GA 30331-7142
Phone: (167) 843-7061
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Nursing Care | 251J00000X | LPN080024 | Georgia |
Profile Details
| NPI number | 1720570849 |
|---|---|
| LBN Legal business name | Webster, Dericka |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 4th, 2018 |
| Last updated | Jun 4th, 2018 - about 8 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 | 1720570849 | NPPES |
| Georgia | Other | LPN080024 | LPN |
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