Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL R. DEROSIER, ATC
Active Sole ProprietorMR. MICHAEL R. DEROSIER, ATC is a Athletic Trainer healthcare provider located in HANOVER, New Hampshire. NPI 1295897833 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · HANOVER, NH
Registration Details
- NPI Number
- 1295897833
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 13, 2006 (19.481783116926 yrs)
- Last Updated
- May 20, 2009
- Licenses
-
25MT00060500 (NJ)0360 (NH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
DARTMOUTH COLLEGEALUMNI GYMNASIUM, HB 6083HANOVER, NH, 03755Browse NH providers · Browse ZIP 03755
- Phone
- 6036469772
- Fax
- 6036469941
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in HANOVER, NH
| Name | Credential | NPI |
|---|---|---|
| MR. SCOTT JERRY ROY | ATC | 1548305436 |
| JEFFREY C. FRECHETTE | ATC | 1043355696 |
| MR. LEONARD R ANGELLI | MSED, ATC | 1518092709 |
| BARBARA SIBUN | — | 1609901453 |
| TRACY A PURCELL | MS ATC CKTP | 1093840951 |
| MS. JENNIFER L HILBERT | M.ED, ATC, EMT | 1992913453 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.