Derubeis, Jenna
Derubeis, Jenna is an individual health care provider with primary practice located at 16515 S 40Th St Ste 111 , Phoenix AZ 85048-0559. She recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Derubeis, Jenna can be contacted via phone (480) 706-2020.Contact Information
Primary practice address
16515 S 40Th St Ste 111
Phoenix AZ 85048-0559
Phone: (480) 706-2020
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | OPT-002424 | Arizona |
Eye and Vision Services Providers / Pediatrics | 152WP0200X | OPT-002424 | Arizona |
Eye and Vision Services Providers / Optometrist | 152W00000X | OPT-002424 | Arizona |
Profile Details
NPI number | 1447874755 |
---|---|
LBN Legal business name | Derubeis, Jenna |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 2nd, 2020 |
Last updated | Jun 2nd, 2020 - about 4 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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