Derebery, Mary Jennifer
Derebery, Mary Jennifer is an individual health care provider with primary practice located at 2100 W 3Rd St Suite 111, Los Angeles CA 90057-1944. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngic Allergy, which is considered as her primary health care specialty. Derebery, Mary Jennifer can be contacted via phone (213) 483-9930.Contact Information
Primary practice address
2100 W 3Rd St Suite 111
Los Angeles CA 90057-1944
Phone: (213) 483-9930
Fax: (213) 483-0905
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngic Allergy | 207YX0602X | C42073 | California |
Profile Details
| NPI number | 1457440992 |
|---|---|
| LBN Legal business name | Derebery, Mary Jennifer |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Aug 15th, 2013 - about 12 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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