Meacham, Derek
Meacham, Derek is an individual health care provider with primary practice located at 4249 Highway 411 Ste 4 , Madisonville TN 37354-1544. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Meacham, Derek can be contacted via phone (423) 442-4034.Contact Information
Primary practice address
4249 Highway 411 Ste 4
Madisonville TN 37354-1544
Phone: (423) 442-4034
Fax: (423) 442-6463
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 17976 | California |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 11131 | Tennessee |
Profile Details
NPI number | 1295942720 |
---|---|
LBN Legal business name | Meacham, Derek |
Credentials | Master of Physical Therapy (MPT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 16th, 2007 |
Last updated | Oct 4th, 2018 - about 7 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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