Derose, Mary Howland
Derose, Mary Howland is an individual health care provider with primary practice located at 2935 Southwest Dr , Sedona AZ 86336-3797. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Derose, Mary Howland can be contacted via phone (928) 203-4863.Contact Information
Primary practice address
2935 Southwest Dr
Sedona AZ 86336-3797
Phone: (928) 203-4863
Fax: (928) 203-4497
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 7153 | Arizona |
Profile Details
| NPI number | 1407991276 |
|---|---|
| LBN Legal business name | Derose, Mary Howland |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Jul 16th, 2010 - about 16 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 | 1407991276 | NPPES |
| Arizona | Other | AZ0934200 | BCBS |
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