Dickerson, Deandre
Dickerson, Deandre is an sole proprietor health care provider with primary practice located at 15519 Crenshaw Blvd , Gardena CA 90249-4525. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Dickerson, Deandre can be contacted via phone (310) 679-2730.Contact Information
Primary practice address
15519 Crenshaw Blvd
Gardena CA 90249-4525
Phone: (310) 679-2730
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1013641059 |
|---|---|
| LBN Legal business name | Dickerson, Deandre |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 14th, 2022 |
| Last updated | Jul 14th, 2022 - about 2 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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