Deruyter, John

Deruyter, John is an individual health care provider with primary practice located at 530 7Th Ave , Fairbanks AK 99701-4971. He recently has only one registered license in Behavioral Health & Social Service Providers / Family, which is considered as his primary health care specialty. Deruyter, John can be contacted via phone (907) 451-8208.

Contact Information

Primary practice address
530 7Th Ave Fairbanks AK 99701-4971
Phone: (907) 451-8208
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Family 103TF0000X 547 Alaska

Profile Details

NPI number 1396828125
LBN Legal business name Deruyter, John
Credentials PSY. D
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Jul 19th, 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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