Desroches, Bethany
Desroches, Bethany is an sole proprietor health care provider with primary practice located at 360 Essex St Ste 403 , Hackensack NJ 07601-8566. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is her primary health care specialty. Desroches, Bethany can be contacted via phone (551) 996-2667.Contact Information
Primary practice address
360 Essex St Ste 403
Hackensack NJ 07601-8566
Phone: (551) 996-2667
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | BP10050157 | Texas |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 25MA10578000 | New Jersey |
Profile Details
| NPI number | 1982015020 |
|---|---|
| LBN Legal business name | Desroches, Bethany |
| Credentials | MD, MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 12th, 2014 |
| Last updated | Jul 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982015020 | NPPES |
| Texas | Other | BP10050157 | TEXAS MEDICAL BOARD |
| Texas | Other | 25MA10578000 | TEXAS MEDICAL BOARD |
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