Bronson, Derek Carl

Bronson, Derek Carl is an individual health care provider with primary practice located at 1717 Arlington Ave , Caldwell ID 83605-4802. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bronson, Derek Carl can be contacted via phone (208) 459-4641.

Contact Information

Primary practice address
1717 Arlington Ave Caldwell ID 83605-4802
Phone: (208) 459-4641
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1962932343
LBN Legal business name Bronson, Derek Carl
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2017
Last updated Dec 28th, 2021 - 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.

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