Derrick, Blakeley R
Derrick, Blakeley R is an sole proprietor health care provider with primary practice located at 127 Wc Bryant Pkwy Ste A, Calhoun GA 30701-2654. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Derrick, Blakeley R can be contacted via phone (706) 629-4999.Contact Information
Primary practice address
127 Wc Bryant Pkwy Ste A
Calhoun GA 30701-2654
Phone: (706) 629-4999
Fax: (706) 629-4799
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CHIR007201 | Georgia |
Profile Details
| NPI number | 1750440053 |
|---|---|
| LBN Legal business name | Derrick, Blakeley R |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 6th, 2006 |
| Last updated | Apr 1st, 2011 - about 13 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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