Wise, Derrik

Wise, Derrik is an individual health care provider with primary practice located at 3809 W 6200 S , Taylorsville UT 84129-3725. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Wise, Derrik can be contacted via phone (888) 949-4864.

Contact Information

Primary practice address
3809 W 6200 S Taylorsville UT 84129-3725
Fax:
Website:

Health care specialties

Profile Details

NPI number 1053988915
LBN Legal business name Wise, Derrik
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2021
Last updated Nov 1st, 2022 - about 2 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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