Individual
DEREK SHIRLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
248 BEECHNUT ST, PICKERINGTON, OH 43147-7977
(740) 521-9475
Mailing address
10901 LONG RD, CANAL WINCHESTER, OH 43110-9635
(614) 388-8208
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
HMEL. 11784
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HMEL. 11784
HOME MEDICAL EQUIPMENT SERVICE PROVIDER LICENSE
OH
Enumeration date
12/18/2015
Last updated
10/20/2020
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