Charles, Derek B

Charles, Derek B is an individual health care provider with primary practice located at 5002 Crossings Cir , Mt Juliet TN 37122-8419. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Charles, Derek B can be contacted via phone (615) 553-5500.

Contact Information

Primary practice address
5002 Crossings Cir Mt Juliet TN 37122-8419
Phone: (615) 553-5500
Fax: (615) 758-3875
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 7419 Tennessee

Profile Details

NPI number 1619084571
LBN Legal business name Charles, Derek B
Credentials D.P.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Jul 8th, 2007 - about 18 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 1619084571 NPPES
Tennessee Other 7419 LICENSE #

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