Householder, Derek Lane

Householder, Derek Lane is an individual health care provider with primary practice located at 4650 Palm Ave , San Diego CA 92154-8404. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as his primary health care specialty. Householder, Derek Lane can be contacted via phone (619) 662-6935.

Contact Information

Primary practice address
4650 Palm Ave San Diego CA 92154-8404
Phone: (619) 662-6935
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 1031031 California

Profile Details

NPI number 1700082955
LBN Legal business name Householder, Derek Lane
Credentials OTRL
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2007
Last updated Jul 8th, 2007 - about 17 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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