Derryberry, Jonathon

Derryberry, Jonathon is an individual health care provider with primary practice located at 3230 Wisconsin Ave , Joplin MO 64804-4029. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Derryberry, Jonathon can be contacted via phone (417) 347-7850.

Contact Information

Primary practice address
3230 Wisconsin Ave Joplin MO 64804-4029
Phone: (417) 347-7850
Fax: (417) 347-7859
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1528334752
LBN Legal business name Derryberry, Jonathon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2012
Last updated Apr 2nd, 2012 - about 12 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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