Marrongelle, Derek

Marrongelle, Derek is an individual health care provider with primary practice located at 16421 N Tatum Blvd Ste 210 , Phoenix AZ 85032-3457. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Dietary & Nutritional Service Providers / Nutritionist. Other Service Providers / Acupuncturist is his primary health care specialty. Marrongelle, Derek can be contacted via phone (570) 617-9005.

Contact Information

Primary practice address
16421 N Tatum Blvd Ste 210 Phoenix AZ 85032-3457
Phone: (570) 617-9005
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X LAC-010133 Arizona
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 5063

Profile Details

NPI number 1417581539
LBN Legal business name Marrongelle, Derek
Credentials DACM, L.AC., CCN
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2020
Last updated Aug 25th, 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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