Powell, Derrick A

Powell, Derrick A is an sole proprietor health care provider with primary practice located at 586 S Rosehall Ln , Round Lake IL 60073-4268. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Powell, Derrick A can be contacted via phone (847) 505-6944.

Contact Information

Primary practice address
586 S Rosehall Ln Round Lake IL 60073-4268
Phone: (847) 505-6944
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 227022514 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 227.022514 Illinois

Profile Details

NPI number 1487390084
LBN Legal business name Powell, Derrick A
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2022
Last updated May 7th, 2022 - about 2 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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