Iaderosa, Pasquale B.

Iaderosa, Pasquale B. is an individual health care provider with primary practice located at 133 S Main St Suite D, Mount Clemens MI 48043-2308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Iaderosa, Pasquale B. can be contacted via phone (586) 468-1600.

Contact Information

Primary practice address
133 S Main St Suite D Mount Clemens MI 48043-2308
Phone: (586) 468-1600
Fax: (586) 465-0329
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301046401 Michigan

Profile Details

NPI number 1962409094
LBN Legal business name Iaderosa, Pasquale B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Dec 22nd, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962409094 NPPES
Michigan MEDICAID 1836979

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