Birch, Derek John
Birch, Derek John is an individual health care provider with primary practice located at 373 S Willow St Ste 266 , Manchester NH 03103-5751. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Birch, Derek John can be contacted via phone (877) 315-8080.Contact Information
Primary practice address
373 S Willow St Ste 266
Manchester NH 03103-5751
Phone: (877) 315-8080
Fax: (877) 345-4009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1215348016 |
|---|---|
| LBN Legal business name | Birch, Derek John |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 14th, 2014 |
| Last updated | Oct 4th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215348016 | NPPES |
| Massachusetts | MEDICAID | 110026265E |
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