Derosa, Michael A

Derosa, Michael A is an individual health care provider with primary practice located at 3694 Starrs Centre Dr , Canfield OH 44406-9514. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Derosa, Michael A can be contacted via phone (330) 702-1310.

Contact Information

Primary practice address
3694 Starrs Centre Dr Canfield OH 44406-9514
Phone: (330) 702-1310
Fax: (330) 702-1344
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 34-00-B028-D Ohio

Profile Details

NPI number 1770589194
LBN Legal business name Derosa, Michael A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Jan 6th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770589194 NPPES
Ohio MEDICAID 2409834

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