Derksen, Juliana Kay
Derksen, Juliana Kay is an sole proprietor health care provider with primary practice located at 2468 Dayton Xenia Rd , Beavercreek OH 45434-7168. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Derksen, Juliana Kay can be contacted via phone (937) 426-7787.Contact Information
Primary practice address
2468 Dayton Xenia Rd
Beavercreek OH 45434-7168
Phone: (937) 426-7787
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT.005201 | Ohio |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 27OA00601500 | New Jersey |
Profile Details
| NPI number | 1376759266 |
|---|---|
| LBN Legal business name | Derksen, Juliana Kay |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 15th, 2007 |
| Last updated | May 15th, 2021 - about 3 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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