Derusso, Gaye
Derusso, Gaye is an individual health care provider with primary practice located at 2999 Regent St Ste 225, Berkeley CA 94705-2190. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Derusso, Gaye can be contacted via phone (510) 704-7760.Contact Information
Primary practice address
2999 Regent St Ste 225
Berkeley CA 94705-2190
Phone: (510) 704-7760
Fax: (510) 704-7765
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA15294 | California |
Profile Details
| NPI number | 1184658783 |
|---|---|
| LBN Legal business name | Derusso, Gaye |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Feb 26th, 2013 - about 13 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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