Derossett, Samuel

Derossett, Samuel is an sole proprietor health care provider with primary practice located at 37681 Sandstone Trl , New Haven MI 48048-3729. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Derossett, Samuel can be contacted via phone (618) 319-0945.

Contact Information

Primary practice address
37681 Sandstone Trl New Haven MI 48048-3729
Phone: (618) 319-0945
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 7501012056 Michigan

Profile Details

NPI number 1295414126
LBN Legal business name Derossett, Samuel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2023
Last updated Jul 17th, 2023 - about 2 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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