Derose, Albert Leonard

Derose, Albert Leonard is an individual health care provider with primary practice located at 5070 Ion Dr Suite 100, Sparks NV 89436-1612. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Derose, Albert Leonard can be contacted via phone (775) 770-7727.

Contact Information

Primary practice address
5070 Ion Dr Suite 100 Sparks NV 89436-1612
Phone: (775) 770-7727
Fax: (775) 770-7737
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 8975 Nevada
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 8975 Nevada

Profile Details

NPI number 1740264506
LBN Legal business name Derose, Albert Leonard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Dec 30th, 2013 - about 12 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 1740264506 NPPES
Nevada MEDICAID 1740264506
Nevada MEDICAID 002001018

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