Medeiros, Derek

Medeiros, Derek is an sole proprietor health care provider with primary practice located at 6836 Morrison Blvd Ste 101 , Charlotte NC 28211-2612. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiology Practitioner Assistant, which is considered as his primary health care specialty. Medeiros, Derek can be contacted via phone (704) 817-0821.

Contact Information

Primary practice address
6836 Morrison Blvd Ste 101 Charlotte NC 28211-2612
Phone: (704) 817-0821
Fax: (704) 817-0835
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiology Practitioner Assistant 243U00000X 15MA1496 Massachusetts

Profile Details

NPI number 1053855296
LBN Legal business name Medeiros, Derek
Credentials R.T, R.R.A, R.P.A
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2016
Last updated Dec 7th, 2016 - about 8 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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