Derienzo, David J
Derienzo, David J is an individual health care provider with primary practice located at 6321 Library Rd , South Park PA 15129-8502. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Derienzo, David J can be contacted via phone (412) 833-1986.Contact Information
Primary practice address
6321 Library Rd
South Park PA 15129-8502
Phone: (412) 833-1986
Fax: (412) 833-3255
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT008610L | Pennsylvania |
Profile Details
| NPI number | 1790771939 |
|---|---|
| LBN Legal business name | Derienzo, David J |
| Credentials | MSPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | Dec 5th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790771939 | NPPES |
| Pennsylvania | MEDICAID | 0016644440004 |
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