Deroche, Desiree Renee

Deroche, Desiree Renee is an individual health care provider with primary practice located at 215 N G St , Lakeview OR 97630-1417. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Deroche, Desiree Renee can be contacted via phone (541) 947-6021.

Contact Information

Primary practice address
215 N G St Lakeview OR 97630-1417
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1538847934
LBN Legal business name Deroche, Desiree Renee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2023
Last updated Jul 6th, 2023 - about 2 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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