Carbajal, Derek Jonathan

Carbajal, Derek Jonathan is an sole proprietor health care provider with primary practice located at 3921 W Baseline Rd , Laveen AZ 85339-1801. He recently has only one registered license in Nursing Service Providers / School, which is considered as his primary health care specialty. Carbajal, Derek Jonathan can be contacted via phone (602) 764-4000.

Contact Information

Primary practice address
3921 W Baseline Rd Laveen AZ 85339-1801
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X RN205388 Arizona

Profile Details

NPI number 1083499925
LBN Legal business name Carbajal, Derek Jonathan
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2023
Last updated Aug 29th, 2023 - about last year

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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