Derousse, Amanda Elizabeth

Derousse, Amanda Elizabeth is an sole proprietor health care provider with primary practice located at 1527 Deerwood Dr , Jackson MO 63755-4148. She recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as her primary health care specialty. Derousse, Amanda Elizabeth can be contacted via phone (573) 225-0580.

Contact Information

Primary practice address
1527 Deerwood Dr Jackson MO 63755-4148
Phone: (573) 225-0580
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1669037701
LBN Legal business name Derousse, Amanda Elizabeth
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2019
Last updated May 3rd, 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.

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