Derusha, Kaylee Michele
Derusha, Kaylee Michele is an individual health care provider with primary practice located at 14150 Hamilton Lake Rd , Newberry MI 49868. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Derusha, Kaylee Michele can be contacted via phone (906) 293-5107.Contact Information
Primary practice address
14150 Hamilton Lake Rd
Newberry MI 49868
Phone: (906) 293-5107
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 2902019413 | Michigan |
Profile Details
| NPI number | 1235815671 |
|---|---|
| LBN Legal business name | Derusha, Kaylee Michele |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2023 |
| Last updated | Jun 22nd, 2023 - about 2 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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