Vraa, Derek

Vraa, Derek is an individual health care provider with primary practice located at 4102 Pinion Dr , Usaf Academy CO 80840-2502. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Vraa, Derek can be contacted via phone (719) 333-3107.

Contact Information

Primary practice address
4102 Pinion Dr Usaf Academy CO 80840-2502
Phone: (719) 333-3107
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 6382 Minnesota

Profile Details

NPI number 1780763219
LBN Legal business name Vraa, Derek
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Mar 15th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780763219 NPPES
Minnesota MEDICAID 940560700

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