Deroy, Alan Robert

Deroy, Alan Robert is an individual health care provider with primary practice located at 7223 Hanover Pkwy Ste B , Greenbelt MD 20770-2023. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Deroy, Alan Robert can be contacted via phone (301) 441-2655.

Contact Information

Primary practice address
7223 Hanover Pkwy Ste B Greenbelt MD 20770-2023
Phone: (301) 441-2655
Fax: (301) 441-2656
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 0103300926 Virginia
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 5901002037 Michigan
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 01434 Maryland

Profile Details

NPI number 1184680043
LBN Legal business name Deroy, Alan Robert
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Apr 30th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184680043 NPPES
Maryland MEDICAID 412480400

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