Derryberry, Jason A
Derryberry, Jason A is an individual health care provider with primary practice located at 911 North Buffalo Dr Ste 107, Las Vegas NV 89128-0380. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Derryberry, Jason A can be contacted via phone (702) 255-7223.Contact Information
Primary practice address
911 North Buffalo Dr Ste 107
Las Vegas NV 89128-0380
Phone: (702) 255-7223
Fax: (702) 255-6211
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1512 | Nevada |
Profile Details
| NPI number | 1164469367 |
|---|---|
| LBN Legal business name | Derryberry, Jason A |
| Credentials | MSPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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