Michael R. Derosier, ATC

Athletic Trainer · Hanover, NH

Individual Active NPI

NPI number 1295897833

Practice location

Dartmouth College
Alumni Gymnasium, HB 6083
Hanover, NH 03755
Phone
(603) 646-9772
Fax
(603) 646-9941

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NPI record

NPI
1295897833
Entity type
Individual (Type 1)
Enumeration date
December 13, 2006
Last updated
May 20, 2009
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 0360 NH
Athletic Trainer 2255A2300X 25MT00060500 NJ

Mailing address

1892 Christian St
White River Junction, VT 05001-5402
Phone
(802) 295-1934
Fax
(603) 646-9941

About Michael Derosier

Michael R. Derosier, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is Dartmouth College, Alumni Gymnasium, HB 6083, Hanover, NH 03755. The NPI number 1295897833 was assigned on December 13, 2006 and the record was last updated on May 20, 2009.

Michael Derosier lists 2 licenses in the registry: #0360 (NH) for Athletic Trainer; #25MT00060500 (NJ) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael R. Derosier, ATC?

The NPI number is 1295897833.

What is the phone number of Michael Derosier?

The phone number listed for the practice location is (603) 646-9772.

Where is Michael Derosier located?

Dartmouth College, Alumni Gymnasium, HB 6083, Hanover, NH 03755.

What is the taxonomy code for Michael Derosier?

The primary taxonomy code is 2255A2300X – Athletic Trainer; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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