Savage, Alan Derck
Savage, Alan Derck is an sole proprietor health care provider with primary practice located at 1651 Old Meadow Rd Ste 600 , Mc Lean VA 22102-4389. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Savage, Alan Derck can be contacted via phone (800) 828-5659.Contact Information
Primary practice address
1651 Old Meadow Rd Ste 600
Mc Lean VA 22102-4389
Phone: (800) 828-5659
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | 17-32208 | Maryland |
Profile Details
| NPI number | 1780112888 |
|---|---|
| LBN Legal business name | Savage, Alan Derck |
| Credentials | RBT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2017 |
| Last updated | Jun 1st, 2017 - about 9 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 | 1780112888 | NPPES |
| Maryland | MEDICAID | 106S00000X |
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