Gerideau, Derick Jermaine

Gerideau, Derick Jermaine is an individual health care provider with primary practice located at 5517 Tunbridge Wells Rd , Lithonia GA 30058-5670. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Gerideau, Derick Jermaine can be contacted via phone (404) 663-8342.

Contact Information

Primary practice address
5517 Tunbridge Wells Rd Lithonia GA 30058-5670
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1053022426
LBN Legal business name Gerideau, Derick Jermaine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2022
Last updated Dec 7th, 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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