Derose, Shira

Derose, Shira is an individual health care provider with primary practice located at 1522 E Perkins Ave Ste A , Sandusky OH 44870-7991. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Derose, Shira can be contacted via phone (419) 610-2308.

Contact Information

Primary practice address
1522 E Perkins Ave Ste A Sandusky OH 44870-7991
Phone: (419) 610-2308
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Community Health Worker 172V00000X Ohio

Profile Details

NPI number 1932402252
LBN Legal business name Derose, Shira
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2010
Last updated Jan 24th, 2023 - about last year

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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