Alcala, Derek

Alcala, Derek is an individual health care provider with primary practice located at 8800 Washington Ave , Mount Pleasant WI 53406-3701. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Alcala, Derek can be contacted via phone (262) 633-3591.

Contact Information

Primary practice address
8800 Washington Ave Mount Pleasant WI 53406-3701
Fax: (262) 633-2619
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1164155990
LBN Legal business name Alcala, Derek
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2022
Last updated Jul 8th, 2022 - 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.

Request for update

Popular Providers