Dejager, Nathan Daniel

Dejager, Nathan Daniel is an individual health care provider with primary practice located at 5501 Marvin Shields Blvd , Gulfport MS 39501-9007. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Dejager, Nathan Daniel can be contacted via phone (228) 871-4737.

Contact Information

Primary practice address
5501 Marvin Shields Blvd Gulfport MS 39501-9007
Phone: (228) 871-4737
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1477819332
LBN Legal business name Dejager, Nathan Daniel
Credentials SURFACE IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2012
Last updated Apr 5th, 2012 - about 13 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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