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:
Health care specialties
Specialty | Code | License # | 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 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1740264506 | NPPES |
Nevada | MEDICAID | 1740264506 | |
Nevada | MEDICAID | 002001018 |
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