Pickup, Derek James
Pickup, Derek James is an sole proprietor health care provider with primary practice located at 807 Blythwood Rd , Valdosta GA 31602-1666. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Pickup, Derek James can be contacted via phone (229) 251-4638.Contact Information
Primary practice address
807 Blythwood Rd
Valdosta GA 31602-1666
Phone: (229) 251-4638
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 005080 | Georgia |
Profile Details
| NPI number | 1053657296 |
|---|---|
| LBN Legal business name | Pickup, Derek James |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 17th, 2012 |
| Last updated | Dec 17th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053657296 | NPPES |
| Georgia | Other | 005080 | NASW |
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