Derosier, Michael R.

Derosier, Michael R. is an sole proprietor health care provider with primary practice located at Dartmouth College Alumni Gymnasium, Hb 6083, Hanover NH 03755. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Derosier, Michael R. can be contacted via phone (603) 646-9772.

Contact Information

Primary practice address
Dartmouth College Alumni Gymnasium, Hb 6083 Hanover NH 03755
Phone: (603) 646-9772
Fax: (603) 646-9941
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 25MT00060500 New Jersey
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 0360 New Hampshire

Profile Details

NPI number 1295897833
LBN Legal business name Derosier, Michael R.
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2006
Last updated May 20th, 2009 - about 15 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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