Derrius Malcolm Chisholm
Derrius Malcolm Chisholm is a Community/Behavioral Health Agency in Lincoln, Nebraska. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
7562 Upton Grey LnLincoln, NE 68516-5694
Phone: (402) 904-7433
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Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1255133658 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 26, 2025 |
| Last updated in NPPES | March 26, 2025 |
| Certification date | March 26, 2025 |
| Mailing address | 7562 Upton Grey Ln, Lincoln, NE 68516-5694 |
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