Dereva, Peter

Dereva, Peter is an sole proprietor health care provider with primary practice located at 2000 Glen Echo Rd Ste 105 , Nashville TN 37215-2857. He recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as his primary health care specialty. Dereva, Peter can be contacted via phone (214) 687-2392.

Contact Information

Primary practice address
2000 Glen Echo Rd Ste 105 Nashville TN 37215-2857
Fax: (214) 602-7003
Website:

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1588283063
LBN Legal business name Dereva, Peter
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2020
Last updated Apr 14th, 2020 - 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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