Harris, Derick R

Harris, Derick R is an individual health care provider with primary practice located at 1321 S Patrick Dr , Patrick Afb FL 32925-3606. He recently has only one registered license in Other Service Providers / Independent Duty Medical Technicians, which is considered as his primary health care specialty. Harris, Derick R can be contacted via phone (321) 494-8245.

Contact Information

Primary practice address
1321 S Patrick Dr Patrick Afb FL 32925-3606
Phone: (321) 494-8245
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Medical Technicians 1710I1003X

Profile Details

NPI number 1396975363
LBN Legal business name Harris, Derick R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2009
Last updated Jul 23rd, 2009 - about 15 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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