Pelletier, Derek James
Pelletier, Derek James is an individual health care provider with primary practice located at 2504 Ridge Road Suite 203, Rockwall TX 75087. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Pelletier, Derek James can be contacted via phone (214) 771-3100.Contact Information
Primary practice address
2504 Ridge Road Suite 203
Rockwall TX 75087
Phone: (214) 771-3100
Fax: (214) 771-3101
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA03964 | Texas |
Profile Details
NPI number | 1730105230 |
---|---|
LBN Legal business name | Pelletier, Derek James |
Credentials | PAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 15th, 2006 |
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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