Daniel, Derek
Daniel, Derek is an sole proprietor health care provider with primary practice located at 5603 Cherry Field Dr , Indianapolis IN 46237-3825. He recently has only one registered license in Behavioral Health & Social Service Providers / Pastoral, which is considered as his primary health care specialty. Daniel, Derek can be contacted via phone (812) 459-3140.Contact Information
Primary practice address
5603 Cherry Field Dr
Indianapolis IN 46237-3825
Phone: (812) 459-3140
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | 16689 |
Profile Details
| NPI number | 1174067748 |
|---|---|
| LBN Legal business name | Daniel, Derek |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 15th, 2016 |
| Last updated | Oct 22nd, 2019 - about 6 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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