Derbis, Madeleine Grace
Derbis, Madeleine Grace is an sole proprietor health care provider with primary practice located at 16500 W 78Th St # B , Eden Prairie MN 55346-4302. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Derbis, Madeleine Grace can be contacted via phone (763) 614-7021.Contact Information
Primary practice address
16500 W 78Th St # B
Eden Prairie MN 55346-4302
Phone: (763) 614-7021
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | Minnesota |
Profile Details
| NPI number | 1144999012 |
|---|---|
| LBN Legal business name | Derbis, Madeleine Grace |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2021 |
| Last updated | Jul 6th, 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.
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