Deroche, Jason P

Deroche, Jason P is an individual health care provider with primary practice located at 255 E Sonterra Blvd Ste 110 , San Antonio TX 78258-4076. He recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as his primary health care specialty. Deroche, Jason P can be contacted via phone (800) 404-6050.

Contact Information

Primary practice address
255 E Sonterra Blvd Ste 110 San Antonio TX 78258-4076
Phone: (800) 404-6050
Fax: (866) 313-3397
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X 11031 Texas

Profile Details

NPI number 1295896512
LBN Legal business name Deroche, Jason P
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Oct 23rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295896512 NPPES
Texas Other 11031 CHIROPRACTIC LICENSE

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