Derolf, Donald A.

Derolf, Donald A. is an sole proprietor health care provider with primary practice located at 321 Vaucluse Ave , Middletown RI 02842-5786. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Derolf, Donald A. can be contacted via phone (401) 683-8895.

Contact Information

Primary practice address
321 Vaucluse Ave Middletown RI 02842-5786
Phone: (401) 683-8895
Fax: (401) 849-5780
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD 05292 Rhode Island
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD05292 Rhode Island

Profile Details

NPI number 1528065745
LBN Legal business name Derolf, Donald A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2005
Last updated Feb 25th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528065745 NPPES
Rhode Island Other 20375-3 RI BC/BS
Rhode Island MEDICAID 7003354 RI BC/BS
Rhode Island Other 003642 RI BC/BS

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