Derrickson, Joda P.

Derrickson, Joda P. is an sole proprietor health care provider with primary practice located at 580 Kawailoa Rd , Kailua HI 96734-3145. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as her primary health care specialty. Derrickson, Joda P. can be contacted via phone (808) 220-4165.

Contact Information

Primary practice address
580 Kawailoa Rd Kailua HI 96734-3145
Phone: (808) 220-4165
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X

Profile Details

NPI number 1710347034
LBN Legal business name Derrickson, Joda P.
Credentials PH.D, RD, ACSM EP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 29th, 2016
Last updated Apr 18th, 2018 - about 7 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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