Derosby, Matthew J

Derosby, Matthew J is an individual health care provider with primary practice located at 234 State St , Brewer ME 04412-1519. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Derosby, Matthew J can be contacted via phone (207) 989-0550.

Contact Information

Primary practice address
234 State St Brewer ME 04412-1519
Phone: (207) 989-0550
Fax: (207) 989-0551
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA534 Maine
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA534 Maine

Profile Details

NPI number 1942266150
LBN Legal business name Derosby, Matthew J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Nov 15th, 2023 - about 2 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 1942266150 NPPES
Maine MEDICAID 205060099

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