Derose, Deborah Ann

Derose, Deborah Ann is an sole proprietor health care provider with primary practice located at 880 Old Post Rd , Fairfield CT 06824-8403. She recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Derose, Deborah Ann can be contacted via phone (203) 259-4229.

Contact Information

Primary practice address
880 Old Post Rd Fairfield CT 06824-8403
Phone: (203) 259-4229
Fax: (203) 255-4743
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X 000304 Connecticut
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 000304 Connecticut
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 000304 Connecticut

Profile Details

NPI number 1902827496
LBN Legal business name Derose, Deborah Ann
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2006
Last updated Dec 23rd, 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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