Derosa, Julie K

Derosa, Julie K is an individual health care provider with primary practice located at 100 Neal Ave , Marion Center PA 15759-0267. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Derosa, Julie K can be contacted via phone (724) 397-5571.

Contact Information

Primary practice address
100 Neal Ave Marion Center PA 15759-0267
Fax: (724) 397-2800
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD051117L Pennsylvania

Profile Details

NPI number 1285682856
LBN Legal business name Derosa, Julie K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Apr 9th, 2021 - about 4 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 1285682856 NPPES
Pennsylvania MEDICAID 0015888700004

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