Derrick, Amanda Beth
Derrick, Amanda Beth is an sole proprietor health care provider with primary practice located at 3075 Ridge Pike , Eagleville PA 19403-1538. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Derrick, Amanda Beth can be contacted via phone (215) 361-1906.Contact Information
Primary practice address
3075 Ridge Pike
Eagleville PA 19403-1538
Phone: (215) 361-1906
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OC011149 | Pennsylvania |
Profile Details
| NPI number | 1740417351 |
|---|---|
| LBN Legal business name | Derrick, Amanda Beth |
| Credentials | M.S.O.T. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2009 |
| Last updated | Aug 24th, 2009 - about 15 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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