Derosier, Matthew Richard
Derosier, Matthew Richard is an individual health care provider with primary practice located at 1921 N 13Th St , Bismarck ND 58501-1973. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Derosier, Matthew Richard can be contacted via phone (701) 222-2252.Contact Information
Primary practice address
1921 N 13Th St
Bismarck ND 58501-1973
Phone: (701) 222-2252
Fax: (701) 222-3645
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3957 | Minnesota |
| Chiropractic Providers / Chiropractor | 111N00000X | 799 | North Dakota |
Profile Details
| NPI number | 1649271610 |
|---|---|
| LBN Legal business name | Derosier, Matthew Richard |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Jul 16th, 2019 - about 7 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 | 1649271610 | NPPES |
| Minnesota | Other | 44-88343 | MEDICA |
| Minnesota | MEDICAID | 10761 | MEDICA |
| Minnesota | Other | 49M33DE | MEDICA |
| Minnesota | Other | 30063 | MEDICA |
| Minnesota | Other | 350054947 | MEDICA |
| Minnesota | Other | 92363 | MEDICA |
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