Derosia, Jessica

Derosia, Jessica is an individual health care provider with primary practice located at 310 Glocheski Dr , Manistee MI 49660-2639. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Derosia, Jessica can be contacted via phone (877) 398-2013.

Contact Information

Primary practice address
310 Glocheski Dr Manistee MI 49660-2639
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1568910446
LBN Legal business name Derosia, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2016
Last updated Sep 20th, 2016 - about 9 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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