Deroma, Brad

Deroma, Brad is an individual health care provider with primary practice located at 15815 S Lakewood Pkwy W Apt 2016 , Phoenix AZ 85048-7291. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Deroma, Brad can be contacted via phone (760) 613-6861.

Contact Information

Primary practice address
15815 S Lakewood Pkwy W Apt 2016 Phoenix AZ 85048-7291
Phone: (760) 613-6861
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1902579998
LBN Legal business name Deroma, Brad
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2021
Last updated Jul 27th, 2021 - about 5 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.

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