Price, Derek P

Price, Derek P is an individual health care provider with primary practice located at 303 N William Kumpf Blvd , Peoria IL 61605-2507. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Price, Derek P can be contacted via phone (309) 676-5546.

Contact Information

Primary practice address
303 N William Kumpf Blvd Peoria IL 61605-2507
Phone: (309) 676-5546
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070009305 Illinois

Profile Details

NPI number 1861446361
LBN Legal business name Price, Derek P
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Apr 15th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861446361 NPPES
Illinois Other CH8612 RR MEDICARE

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