Leist, Derek Alan

Leist, Derek Alan is an individual health care provider with primary practice located at 204 Ward Cir Suite 300, Brentwood TN 37027-7551. He recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as his primary health care specialty. Leist, Derek Alan can be contacted via phone (615) 636-5923.

Contact Information

Primary practice address
204 Ward Cir Suite 300 Brentwood TN 37027-7551
Phone: (615) 636-5923
Fax: (615) 915-3187
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X 2649 Tennessee

Profile Details

NPI number 1073836342
LBN Legal business name Leist, Derek Alan
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2010
Last updated Dec 10th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073836342 NPPES
Tennessee Other 2649 STATE LICENSE #

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