Myers, Derosset

Myers, Derosset is an individual health care provider with primary practice located at 15 Medical Park Rd Suite 103, Columbia SC 29203-8003. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Myers, Derosset can be contacted via phone (803) 255-3400.

Contact Information

Primary practice address
15 Medical Park Rd Suite 103 Columbia SC 29203-8003
Phone: (803) 255-3400
Fax: (803) 255-3420
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 431 South Carolina

Profile Details

NPI number 1659331460
LBN Legal business name Myers, Derosset
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Apr 30th, 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 1659331460 NPPES
South Carolina MEDICAID PS0046
South Carolina MEDICAID GP0720

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