Myers, Derosset
Myers, Derosset is an individual health care provider with primary practice located at 15 Medical Park Rd Suite 103, Columbia SC 29203-8003. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Myers, Derosset can be contacted via phone (803) 255-3400.Contact Information
Primary practice address
15 Medical Park Rd Suite 103
Columbia SC 29203-8003
Phone: (803) 255-3400
Fax: (803) 255-3420
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 431 | South Carolina |
Profile Details
| NPI number | 1659331460 |
|---|---|
| LBN Legal business name | Myers, Derosset |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Apr 30th, 2008 - about 17 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 | 1659331460 | NPPES |
| South Carolina | MEDICAID | PS0046 | |
| South Carolina | MEDICAID | GP0720 |
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