White, Derek Omar
White, Derek Omar is an individual health care provider with primary practice located at 50 E 9000 S , Sandy UT 84070-2201. 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. White, Derek Omar can be contacted via phone (801) 561-9839.Contact Information
Primary practice address
50 E 9000 S
Sandy UT 84070-2201
Phone: (801) 561-9839
Fax: (801) 352-0027
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 346435-2401 | Utah |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00010324 | Washington |
Profile Details
| NPI number | 1417083064 |
|---|---|
| LBN Legal business name | White, Derek Omar |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2007 |
| 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.
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