Derosier, Leo Christopher

Derosier, Leo Christopher is an individual health care provider with primary practice located at 2030 Fleischmann Rd , Tallahassee FL 32308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Derosier, Leo Christopher can be contacted via phone (850) 219-2000.

Contact Information

Primary practice address
2030 Fleischmann Rd Tallahassee FL 32308
Phone: (850) 219-2000
Fax: (850) 877-2138
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME116517 Florida

Profile Details

NPI number 1043425309
LBN Legal business name Derosier, Leo Christopher
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2007
Last updated Aug 4th, 2015 - about 11 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 1043425309 NPPES
Alabama Other 051116213 BCBS
Alabama MEDICAID 128756 BCBS
Alabama Other 051116211 BCBS
Alabama MEDICAID 128741 BCBS
Alabama Other 051116208 BCBS
Alabama Other 051116209 BCBS
Alabama MEDICAID 128744 BCBS
Alabama MEDICAID 128750 BCBS
Alabama MEDICAID 05683733 BCBS
Alabama MEDICAID 128758 BCBS
Alabama Other 051116212 BCBS

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