Hairston, Derick L
Hairston, Derick L is an sole proprietor health care provider with primary practice located at 612 Larchmont Ave , Capitol Heights MD 20743-2839. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Hairston, Derick L can be contacted via phone (202) 910-2252.Contact Information
Primary practice address
612 Larchmont Ave
Capitol Heights MD 20743-2839
Phone: (202) 910-2252
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | Maryland |
Profile Details
| NPI number | 1568860708 |
|---|---|
| LBN Legal business name | Hairston, Derick L |
| Credentials | CPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2014 |
| Last updated | Jan 9th, 2015 - about 9 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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