Sillito, Derrol Marvin
Sillito, Derrol Marvin is an individual health care provider with primary practice located at 5511 112Th Ave E Suite B, Puyallup WA 98372. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Sillito, Derrol Marvin can be contacted via phone (253) 845-4655.Contact Information
Primary practice address
5511 112Th Ave E Suite B
Puyallup WA 98372
Phone: (253) 845-4655
Fax: (253) 845-1052
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1192 | Washington |
Profile Details
| NPI number | 1992704910 |
|---|---|
| LBN Legal business name | Sillito, Derrol Marvin |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1992704910 | NPPES |
| Washington | Other | SI3427 | REGENCE BLUE SHIELD |
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