Derosa, Joseph

Derosa, Joseph is an individual health care provider with primary practice located at 205 Marion Pike , Coal Grove OH 45638-3165. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Derosa, Joseph can be contacted via phone (740) 532-1188.

Contact Information

Primary practice address
205 Marion Pike Coal Grove OH 45638-3165
Phone: (740) 532-1188
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 1329 West Virginia
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 34004625 Ohio

Profile Details

NPI number 1477533768
LBN Legal business name Derosa, Joseph
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Sep 23rd, 2019 - 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 1477533768 NPPES
Ohio Other 000000178447 ANTHEM BC
Ohio MEDICAID 0715417 ANTHEM BC
Ohio MEDICAID 64698939 ANTHEM BC
Ohio Other 001709561 ANTHEM BC
Ohio MEDICAID 0092290000 ANTHEM BC
Ohio Other 001790560 ANTHEM BC

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