Reuben, Derrick

Reuben, Derrick is an sole proprietor health care provider with primary practice located at 4108 Applewood Ln , Matteson IL 60443-1903. He recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as his primary health care specialty. Reuben, Derrick can be contacted via phone (708) 699-5078.

Contact Information

Primary practice address
4108 Applewood Ln Matteson IL 60443-1903
Phone: (708) 699-5078
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X

Profile Details

NPI number 1629733563
LBN Legal business name Reuben, Derrick
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2021
Last updated Nov 4th, 2021 - about 3 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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