Derrick, Mechella L

Derrick, Mechella L is an sole proprietor health care provider with primary practice located at 19251 Mack Ave , Grosse Pointe Woods MI 48236-2893. She recently has only one registered license in Eye and Vision Services Providers / Technician/Technologist, which is considered as her primary health care specialty. Derrick, Mechella L can be contacted via phone (586) 701-1622.

Contact Information

Primary practice address
19251 Mack Ave Grosse Pointe Woods MI 48236-2893
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Technician/Technologist 156F00000X

Profile Details

NPI number 1811668825
LBN Legal business name Derrick, Mechella L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2021
Last updated Sep 21st, 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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