Davis, Derrick

Davis, Derrick is an sole proprietor health care provider with primary practice located at 18286 Boxelder Dr , Brownstown MI 48174-9261. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Davis, Derrick can be contacted via phone (734) 229-1514.

Contact Information

Primary practice address
18286 Boxelder Dr Brownstown MI 48174-9261
Phone: (734) 229-1514
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704235173 Michigan

Profile Details

NPI number 1245612621
LBN Legal business name Davis, Derrick
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2015
Last updated Jun 23rd, 2015 - about 9 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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