Petrie, Derick

Petrie, Derick is an individual health care provider with primary practice located at 928 School St , Houma LA 70360-4628. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Petrie, Derick can be contacted via phone (985) 851-1970.

Contact Information

Primary practice address
928 School St Houma LA 70360-4628
Phone: (985) 851-1970
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 200781 Louisiana

Profile Details

NPI number 1538559927
LBN Legal business name Petrie, Derick
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2015
Last updated Jan 23rd, 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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