Williams, Derrick Jose
Williams, Derrick Jose is an sole proprietor health care provider with primary practice located at 2013 7Th St Ne , Canton OH 44704-1969. He recently has 6 registered licenses in different health care specialties including Suppliers / Home Delivered Meals, Nursing Service Related Providers / Homemaker, Respite Care Facility / Respite Care, Respite Care Facility / Respite Care, Mental Illness, Child, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, Transportation Services / Private Vehicle. Transportation Services / Private Vehicle is his primary health care specialty. Williams, Derrick Jose can be contacted via phone (330) 232-0379.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Home Delivered Meals | 332U00000X | RP085271 | Ohio |
Nursing Service Related Providers / Homemaker | 376J00000X | RP085271 | Ohio |
Respite Care Facility / Respite Care | 385H00000X | RP085271 | Ohio |
Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X | RP085271 | Ohio |
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities | 385HR2060X | RP085271 | Ohio |
Transportation Services / Private Vehicle | 347C00000X | RP085271 | Ohio |
Profile Details
NPI number | 1780370825 |
---|---|
LBN Legal business name | Williams, Derrick Jose |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 12th, 2023 |
Last updated | Sep 15th, 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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