Derickson, Karen
Derickson, Karen is an sole proprietor health care provider with primary practice located at 6006 Brandy Chase Cv , Fort Wayne IN 46815-7601. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Derickson, Karen can be contacted via phone (260) 486-3001.Contact Information
Primary practice address
6006 Brandy Chase Cv
Fort Wayne IN 46815-7601
Phone: (260) 486-3001
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant | 224Z00000X | 32001472A | Indiana |
Profile Details
| NPI number | 1730336462 |
|---|---|
| LBN Legal business name | Derickson, Karen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 25th, 2008 |
| Last updated | Aug 25th, 2008 - about 17 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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