Derosa Plastic Surgery, Pllc

LBN: Derosa Plastic Surgery, Pllc
Derosa Plastic Surgery, Pllc is an health care organization with primary practice located at 22401 Foster Winter Dr , Southfield MI 48075-3724. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as the primary health care specialty. Derosa Plastic Surgery, Pllc can be contacted via phone (248) 688-7597, or through Derosa, Amy P via phone (248) 688-7597.

Contact Information

Primary practice address
22401 Foster Winter Dr Southfield MI 48075-3724
Phone: (248) 688-7597
Fax: (248) 498-6060
Website:
Map and Directions
Authorized official contact:
Name: Derosa, Amy P Doctor of Osteopathy (DO)
Phone: (248) 688-7597

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 5101017043 Michigan

Profile Details

NPI number 1144618075
LBN Legal business name Derosa Plastic Surgery, Pllc
DBA Doing business as
Authorized official Derosa, Amy P Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 30th, 2014
Last updated Jun 22nd, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144618075 NPPES
Michigan MEDICAID 7789986

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