Achombom, Derick Abong

Achombom, Derick Abong is an sole proprietor health care provider with primary practice located at 6114 Breezewood Dr Apt 202 , Greenbelt MD 20770-4143. He recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as his primary health care specialty. Achombom, Derick Abong can be contacted via phone (240) 413-3166.

Contact Information

Primary practice address
6114 Breezewood Dr Apt 202 Greenbelt MD 20770-4143
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1871916569
LBN Legal business name Achombom, Derick Abong
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2014
Last updated Jan 30th, 2014 - about 11 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.

Request for update

Popular Providers