Derr, Edison
Derr, Edison is an sole proprietor health care provider with primary practice located at 2214 Maple St , Saint Joseph MO 64507-1413. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Derr, Edison can be contacted via phone (419) 651-2323.Contact Information
Primary practice address
2214 Maple St
Saint Joseph MO 64507-1413
Phone: (419) 651-2323
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 2013032471 | Missouri |
Profile Details
| NPI number | 1861873952 |
|---|---|
| LBN Legal business name | Derr, Edison |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2015 |
| Last updated | Jun 15th, 2015 - about 10 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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