Derosa, Constance Maria
Derosa, Constance Maria is an individual health care provider with primary practice located at 1562 Opossumtown Pike , Frederick MD 21702-4920. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Derosa, Constance Maria can be contacted via phone (402) 566-3031.Contact Information
Primary practice address
1562 Opossumtown Pike
Frederick MD 21702-4920
Phone: (402) 566-3031
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | R119937 | Maryland |
Profile Details
| NPI number | 1508428103 |
|---|---|
| LBN Legal business name | Derosa, Constance Maria |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2019 |
| Last updated | Oct 27th, 2020 - about 6 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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