Pidgeon, Derek John

Pidgeon, Derek John is an individual health care provider with primary practice located at 400 Bowman St , Mansfield OH 44903-1235. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Pidgeon, Derek John can be contacted via phone (419) 525-3525.

Contact Information

Primary practice address
400 Bowman St Mansfield OH 44903-1235
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 103 Ohio

Profile Details

NPI number 1902384175
LBN Legal business name Pidgeon, Derek John
Credentials CPS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2018
Last updated Jul 31st, 2018 - about 6 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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