Dillard, Dereck L

Dillard, Dereck L is an sole proprietor health care provider with primary practice located at 870 S Orange Ave , Newark NJ 07106-1944. He recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as his primary health care specialty. Dillard, Dereck L can be contacted via phone (646) 355-5583.

Contact Information

Primary practice address
870 S Orange Ave Newark NJ 07106-1944
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1093015000
LBN Legal business name Dillard, Dereck L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2010
Last updated May 5th, 2022 - about 4 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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