Derus, Lindsay Marie
Derus, Lindsay Marie is an individual health care provider with primary practice located at 13555 W Mcdowell Rd Ste 304 , Goodyear AZ 85395-2629. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Derus, Lindsay Marie can be contacted via phone (623) 935-5522.Contact Information
Primary practice address
13555 W Mcdowell Rd Ste 304
Goodyear AZ 85395-2629
Phone: (623) 935-5522
Fax: (623) 935-3220
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 7288 | Arizona |
Profile Details
| NPI number | 1053677625 |
|---|---|
| LBN Legal business name | Derus, Lindsay Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 8th, 2012 |
| Last updated | May 8th, 2018 - about 6 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 | 1053677625 | NPPES |
| Ohio | MEDICAID | 139001 |
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