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Contact Information

JULIE A DEROSA, MD
10090 GEORGIA STREET, SUITE #3
CROWN POINT, IN46307
 Phone: 219-472-4077
 Fax: 219-267-1720
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JULIE A DEROSA · (Female)

NPI Number 1376514950
Status Active
Credentials MD
Entity Individual
Enumeration date 01/31/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01049022A
  • IN Medicaid 200540460
  • IN Other 01049022B CSR
  • IN Other 01049022A INDIANA LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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