Derubertis, Michael A

Derubertis, Michael A is an sole proprietor health care provider with primary practice located at 3866 Carnegie Ave , Cleveland OH 44115-2718. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Derubertis, Michael A can be contacted via phone (216) 621-0022.

Contact Information

Primary practice address
3866 Carnegie Ave Cleveland OH 44115-2718
Phone: (216) 621-0022
Fax: (216) 621-5479
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT03590 Ohio

Profile Details

NPI number 1013961911
LBN Legal business name Derubertis, Michael A
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2006
Last updated Oct 26th, 2011 - about 13 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 1013961911 NPPES
Ohio MEDICAID 2101531

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