Joseph, Derrick Vincent

Joseph, Derrick Vincent is an sole proprietor health care provider with primary practice located at 7606 Fallbrook Ave 4, West Hills CA 91304-3610. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Joseph, Derrick Vincent can be contacted via phone (818) 457-9948.

Contact Information

Primary practice address
7606 Fallbrook Ave 4 West Hills CA 91304-3610
Phone: (818) 457-9948
Fax: (818) 887-1577
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 20646 California

Profile Details

NPI number 1801187703
LBN Legal business name Joseph, Derrick Vincent
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2011
Last updated Sep 16th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801187703 NPPES
California Other DC20646 CHIROPRACTIC LICENSE
California Other FA266A CHIROPRACTIC LICENSE

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