Deperro, Michael Phillip
Deperro, Michael Phillip is an sole proprietor health care provider with primary practice located at 1830 Bethel Rd Ste 200 , Columbus OH 43220-1809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Deperro, Michael Phillip can be contacted via phone (614) 940-6607.Contact Information
Primary practice address
1830 Bethel Rd Ste 200
Columbus OH 43220-1809
Phone: (614) 940-6607
Fax: (614) 429-4948
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 112600 | Ohio |
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 122373 | Ohio |
Profile Details
| NPI number | 1255588810 |
|---|---|
| LBN Legal business name | Deperro, Michael Phillip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 25th, 2008 |
| Last updated | Dec 11th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255588810 | NPPES |
| Ohio | Other | 811530392 | TAX-ID |
| Ohio | MEDICAID | 1134573496 | TAX-ID |
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