Dejong, Everett Schuyler
Dejong, Everett Schuyler is an individual health care provider with primary practice located at 205 E Nasa Blvd , Melbourne FL 32901-1950. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Dejong, Everett Schuyler can be contacted via phone (321) 361-5624.Contact Information
Primary practice address
205 E Nasa Blvd
Melbourne FL 32901-1950
Phone: (321) 361-5624
Fax: (321) 728-8649
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ME77782 | Florida |
Profile Details
NPI number | 1538159074 |
---|---|
LBN Legal business name | Dejong, Everett Schuyler |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 26th, 2005 |
Last updated | Jan 30th, 2023 - about last year |
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 | 1538159074 | NPPES |
Florida | Other | 79765Y | MEDICARE |
Florida | MEDICAID | 268183800 | MEDICARE |
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