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Contact Information

DEREK FAULKNER
2400 LITTLE BLUE PKWY
INDEPENDENCE, MO64057
 Phone: 615-483-7009
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for DEREK FAULKNER · (Male)

NPI Number 1437693561
Status Active
Credentials
Entity Individual
Enumeration date 12/08/2016
Last updated 12/08/2016 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2015026806
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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