Cunningham, Derick Wade

Cunningham, Derick Wade is an sole proprietor health care provider with primary practice located at 3001 W Wedington Dr Apt 73, Fayetteville AR 72701-1528. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Cunningham, Derick Wade can be contacted via phone (870) 284-4029.

Contact Information

Primary practice address
3001 W Wedington Dr Apt 73 Fayetteville AR 72701-1528
Phone: (870) 284-4029
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 6977 Arkansas

Profile Details

NPI number 1942594437
LBN Legal business name Cunningham, Derick Wade
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2011
Last updated Jun 2nd, 2011 - about 14 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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