Derra, Idrissa

Derra, Idrissa is an sole proprietor health care provider with primary practice located at 3906 Turnbridge Ct Unit 311 , Brunswick OH 44212-3093. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Derra, Idrissa can be contacted via phone (216) 801-5639.

Contact Information

Primary practice address
3906 Turnbridge Ct Unit 311 Brunswick OH 44212-3093
Phone: (216) 801-5639
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1194309989
LBN Legal business name Derra, Idrissa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2021
Last updated Nov 28th, 2022 - 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.

Request for update

Popular Providers