Anderson, Derek

Anderson, Derek is an sole proprietor health care provider with primary practice located at 120 W Main St , Mesquite TX 75149-4264. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Anderson, Derek can be contacted via phone (214) 351-3490.

Contact Information

Primary practice address
120 W Main St Mesquite TX 75149-4264
Phone: (214) 351-3490
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1477181006
LBN Legal business name Anderson, Derek
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2020
Last updated Mar 30th, 2020 - about 4 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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