Desrochers, Ann-Renee

Desrochers, Ann-Renee is an individual health care provider with primary practice located at 1700 N Waterman Ave , San Bernardino CA 92404-5115. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Desrochers, Ann-Renee can be contacted via phone (909) 883-8611.

Contact Information

Primary practice address
1700 N Waterman Ave San Bernardino CA 92404-5115
Phone: (909) 883-8611
Fax: (909) 886-1798
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A98858 California

Profile Details

NPI number 1932135076
LBN Legal business name Desrochers, Ann-Renee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Mar 11th, 2008 - about 18 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 1932135076 NPPES
California MEDICAID 00A988580

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