Derrick, Caroline Louise

Derrick, Caroline Louise is an individual health care provider with primary practice located at 15855 19 Mile Rd , Clinton Township MI 48038-3504. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Derrick, Caroline Louise can be contacted via phone (586) 203-1195.

Contact Information

Primary practice address
15855 19 Mile Rd Clinton Township MI 48038-3504
Phone: (586) 203-1195
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704234693 Michigan

Profile Details

NPI number 1295893055
LBN Legal business name Derrick, Caroline Louise
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Feb 2nd, 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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