Derrick, Jerome

Derrick, Jerome is an sole proprietor health care provider with primary practice located at 401 Us Highway 22 W Apt F , North Plainfield NJ 07060-3805. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Derrick, Jerome can be contacted via phone (973) 652-7764.

Contact Information

Primary practice address
401 Us Highway 22 W Apt F North Plainfield NJ 07060-3805
Phone: (973) 652-7764
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 101YA0400X New Jersey

Profile Details

NPI number 1033651781
LBN Legal business name Derrick, Jerome
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 12th, 2016
Last updated Nov 12th, 2016 - about 9 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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