Cline, Derick Keaton

Cline, Derick Keaton is an individual health care provider with primary practice located at 106 Sabine Bottom Rd , Glen Fork WV 25845-9007. He recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as his primary health care specialty. Cline, Derick Keaton can be contacted via phone (304) 934-3005.

Contact Information

Primary practice address
106 Sabine Bottom Rd Glen Fork WV 25845-9007
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1174283923
LBN Legal business name Cline, Derick Keaton
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2021
Last updated Dec 21st, 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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