Derby, Jennifer

Derby, Jennifer is an sole proprietor health care provider with primary practice located at 52 Preston St , Fairmont WV 26554-5272. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Derby, Jennifer can be contacted via phone (304) 612-0535.

Contact Information

Primary practice address
52 Preston St Fairmont WV 26554-5272
Phone: (304) 612-0535
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1306438817
LBN Legal business name Derby, Jennifer
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2021
Last updated Feb 5th, 2021 - about 4 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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