Derico, Pierce

Derico, Pierce is an individual health care provider with primary practice located at 1145 Sturgis Road , Twentynine Palms CA 92278-8275. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Derico, Pierce can be contacted via phone (760) 830-2117.

Contact Information

Primary practice address
1145 Sturgis Road Twentynine Palms CA 92278-8275
Phone: (760) 830-2117
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101273114 Virginia

Profile Details

NPI number 1891322269
LBN Legal business name Derico, Pierce
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2020
Last updated Jul 3rd, 2023 - about 2 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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