Chisholm, Derek A

Chisholm, Derek A is an individual health care provider with primary practice located at 875 W Moreno Ave , Colorado Springs CO 80905-1731. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Chisholm, Derek A can be contacted via phone (719) 572-6200.

Contact Information

Primary practice address
875 W Moreno Ave Colorado Springs CO 80905-1731
Phone: (719) 572-6200
Fax: (719) 572-6427
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 31420 Colorado

Profile Details

NPI number 1285710467
LBN Legal business name Chisholm, Derek A
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Jul 8th, 2007 - about 17 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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