Mr. Michael R Derosier, ATC
Specialist/Technologist, Athletic Trainer in Hanover, New Hampshire
1295897833- Practice location
- Dartmouth College, Alumni Gymnasium, Hb 6083, Hanover, NH 03755
- Phone
- 603-646-9772
- Fax
- 603-646-9941
- Last updated
- May 20, 2009
Michael R. Derosier is a Specialist/Technologist, Athletic Trainer based in Hanover, NH. Michael R. Derosier practices in Hanover, NH and has the professional credentials of ATC. The NPI Number for Michael R. Derosier is 1295897833 and holds a License No. 25MT00060500 (NJ). The current practice location address for Michael R. Derosier is Dartmouth College, Alumni Gymnasium, Hb 6083, Hanover, NH 03755 and can be reached out via phone at 603-646-9772 and via fax at 603-646-9941.
Provider Profile Details
- NPI Number
- 1295897833
- Provider Name
- Michael R. Derosier
- Credential
- ATC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- Dartmouth College, Alumni Gymnasium, Hb 6083, Hanover, NH 03755
- Phone Number
- 603-646-9772
- Fax Number
- 603-646-9941
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 13, 2006
- Last Update Date
- May 20, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Dartmouth College
Alumni Gymnasium, Hb 6083
Hanover, NH 03755 - City
- Hanover
- State
- New Hampshire
- Zip
- 03755
- Phone Number
- 603-646-9772
- Fax Number
- 603-646-9941
Provider Business Mailing Address Details
- Address
- 1892 Christian St
White River Junction, VT 05001-5402 - City
- White River Junction
- State
- VT
- Zip
- 05001-5402
- Phone Number
- 802-295-1934
- Fax Number
- 603-646-9941
License Information
- License Number (1)
- 25MT00060500
- License State (1)
- NJ
- Taxonomy (1)
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- License Number (2)
- 0360
- License State (2)
- NH
- Taxonomy (2)
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Michael R Derosier, ATC?
The NPI number of Mr. Michael R Derosier, ATC is 1295897833. It was assigned on December 13, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. Michael R Derosier, ATC?
Mr. Michael R Derosier, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00060500.
Where does Mr. Michael R Derosier, ATC practice?
The practice location is Dartmouth College, Alumni Gymnasium, Hb 6083, Hanover, NH 03755. The office can be reached at 603-646-9772 (phone) or 603-646-9941 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295897833 directly on the NPPES registry website.