Derosa, Chad A

Derosa, Chad A is an sole proprietor health care provider with primary practice located at 1650 Cochrane Cir Urology Service, Evans Army Community Hospital, Fort Carson CO 80913-4613. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Derosa, Chad A can be contacted via phone (719) 526-7115.

Contact Information

Primary practice address
1650 Cochrane Cir Urology Service, Evans Army Community Hospital Fort Carson CO 80913-4613
Phone: (719) 526-7115
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 01061241A Indiana
Allopathic & Osteopathic Physicians / Urology 208800000X DR.0052374 Colorado

Profile Details

NPI number 1740471275
LBN Legal business name Derosa, Chad A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2007
Last updated Jun 21st, 2021 - about 3 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 1740471275 NPPES
Colorado Other 028857 KAISER COMMERCIAL NUMBER
Colorado MEDICAID 55980767 KAISER COMMERCIAL NUMBER

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