Briddell, Derrick Antonio
Briddell, Derrick Antonio is an individual health care provider with primary practice located at 1496 Still Meadow Blvd Ste Dande , Salisbury MD 21804-7511. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Briddell, Derrick Antonio can be contacted via phone (443) 365-2729.Contact Information
Primary practice address
1496 Still Meadow Blvd Ste Dande
Salisbury MD 21804-7511
Phone: (443) 365-2729
Fax: (443) 365-2730
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | 11098 | North Carolina |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | P11098 | North Carolina |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | P11098 | North Carolina |
Profile Details
| NPI number | 1740287259 |
|---|---|
| LBN Legal business name | Briddell, Derrick Antonio |
| Credentials | PT, DSC, MS, SCS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Jan 27th, 2022 - about 2 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 | 1740287259 | NPPES |
| North Carolina | MEDICAID | 7212305 |
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