person
Derrick Jerome Showalter
NPI 1740856848

Derrick Jerome Showalter is a Driver based in Princeton, WV. Derrick Jerome Showalter practices in Princeton, WV. The NPI Number for Derrick Jerome Showalter is 1740856848 and holds a License No. F341538 (West Virginia).

The current practice location address for Derrick Jerome Showalter is 1122 Mercer St, Princeton, WV and can be reached out via phone at 304-800-0544.

Location: 1122 Mercer St, Princeton, WV, 24740-3030
person
Provider Profile Details
NPI Number
1740856848
Provider Name
Derrick Jerome Showalter
Credential
Provider Entity Type
Individual
Gender
Male
Address
1122 Mercer St, Princeton, WV, 24740-3030
Phone Number
304-800-0544
Fax Number
Provider Enumeration Date
05/28/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1122 Mercer St
City
State
Zip
24740-3030
Phone Number
304-800-0544
Fax Number
person
Provider Business Mailing Address Details
Address
1122 Mercer St
City
State
Zip
24740-3030
Phone Number
304-800-0544
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
F341538 (West Virginia)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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