Derousse, Melissa
Derousse, Melissa is an individual health care provider with primary practice located at 1 Southtowne Dr , Potosi MO 63664-5729. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Derousse, Melissa can be contacted via phone (573) 438-9355.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 2004003161 | Missouri |
Profile Details
| NPI number | 1396079505 |
|---|---|
| LBN Legal business name | Derousse, Melissa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2009 |
| Last updated | Sep 22nd, 2009 - about 16 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 | 1396079505 | NPPES |
| Missouri | Other | 2004003161 | LICENSE |
Popular Providers
-
Straetz, Michele
2306 S Kinnickinnic Ave , Milwaukee WI 53207-1626 -
Mccoy, Hollie Elizabeth
Branch Health Clinic,Naval Amphibious Base,Little Creek 1035 Nider Blvd, Suite 100, Norfolk VA 23521-2731 -
Lefsaker, Gail Karen
12150 New York Ranch Road Jackson Rancheria Health Complex, Jackson CA 95642-9344 -
Jacobi, Deborah
8960 Springbrook Dr Nw Suite 150, Coon Rapids MN 55433-5852 -
Rogers, Denise
982 E Main St , Bridgeport CT 06608-1913 -
Prockelo, Kimberley K.
4175 S Alamo Ave , Dm Afb AZ 85707-6097 -
Moreno, Joe
202 Pomfret St , Putnam CT 06260-1833 -
Witherspoon, Rachel Lynn
Commanding Officer Us Naval Hospital Attn. Dental Clinic, Fpo AE 09589-1000