Shaw, Derrick Chase

Shaw, Derrick Chase is an individual health care provider with primary practice located at 1185 Cordova Dr , Lusby MD 20657-4538. He recently has only one registered license in Other Service Providers / Independent Duty Medical Technicians, which is considered as his primary health care specialty. Shaw, Derrick Chase can be contacted via phone (402) 705-3896.

Contact Information

Primary practice address
1185 Cordova Dr Lusby MD 20657-4538
Phone: (402) 705-3896
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Medical Technicians 1710I1003X

Profile Details

NPI number 1336865146
LBN Legal business name Shaw, Derrick Chase
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2022
Last updated Apr 4th, 2023 - about last year

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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