Ball, Derick Alan

Ball, Derick Alan is an sole proprietor health care provider with primary practice located at 13624 Hawthorne Blvd Suite 206, Hawthorne CA 90250-5818. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Ball, Derick Alan can be contacted via phone (310) 675-0900.

Contact Information

Primary practice address
13624 Hawthorne Blvd Suite 206 Hawthorne CA 90250-5818
Phone: (310) 675-0900
Fax: (310) 675-0904
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X E3329 California

Profile Details

NPI number 1346299716
LBN Legal business name Ball, Derick Alan
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2006
Last updated Apr 8th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346299716 NPPES
California MEDICAID E33290
California MEDICAID GRE001780

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