Stevenson, Derek
Stevenson, Derek is an sole proprietor health care provider with primary practice located at 227 Hoot Owl Ln N , Leander TX 78641-1733. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Stevenson, Derek can be contacted via phone (512) 297-3126.Contact Information
Primary practice address
227 Hoot Owl Ln N
Leander TX 78641-1733
Phone: (512) 297-3126
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT5275 | Texas |
Profile Details
| NPI number | 1710387469 |
|---|---|
| LBN Legal business name | Stevenson, Derek |
| Credentials | LAT, ATC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2014 |
| Last updated | Aug 31st, 2014 - about 11 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 | 1710387469 | NPPES |
| Texas | Other | AT5275 | LICENSED ATHLETIC TRAINER |
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