Williams, Derrick Jose

Williams, Derrick Jose is an sole proprietor health care provider with primary practice located at 2013 7Th St Ne , Canton OH 44704-1969. He recently has 6 registered licenses in different health care specialties including Suppliers / Home Delivered Meals, Nursing Service Related Providers / Homemaker, Respite Care Facility / Respite Care, Respite Care Facility / Respite Care, Mental Illness, Child, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, Transportation Services / Private Vehicle. Transportation Services / Private Vehicle is his primary health care specialty. Williams, Derrick Jose can be contacted via phone (330) 232-0379.

Contact Information

Primary practice address
2013 7Th St Ne Canton OH 44704-1969
Phone: (330) 232-0379
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Home Delivered Meals 332U00000X RP085271 Ohio
Nursing Service Related Providers / Homemaker 376J00000X RP085271 Ohio
Respite Care Facility / Respite Care 385H00000X RP085271 Ohio
Respite Care Facility / Respite Care, Mental Illness, Child 385HR2055X RP085271 Ohio
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X RP085271 Ohio
Transportation Services / Private Vehicle 347C00000X RP085271 Ohio

Profile Details

NPI number 1780370825
LBN Legal business name Williams, Derrick Jose
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2023
Last updated Sep 15th, 2023 - about 3 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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