Individual provider · Type 1 NPI

Derrick Bines

Student in an Organized Health Care Education/Training Program · Berkeley, CA

NPI number 1720583131 Active

Practice location

2222 Bancroft Way Spc 4300
Berkeley, CA 94720-4300

Call (510) 642-9494 Map

Mailing address

1301 Ferry St Apt 4
Eugene, OR 97401-6304

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1720583131

Derrick Bines's National Provider Identifier is 1720583131, issued on Mar 27, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Berkeley, CA. The record was last updated on Mar 27, 2018.