Desantis, Donald

Desantis, Donald is an individual health care provider with primary practice located at 552A Lancaster Ave , Berwyn PA 19312-1635. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Desantis, Donald can be contacted via phone (610) 644-7100.

Contact Information

Primary practice address
552A Lancaster Ave Berwyn PA 19312-1635
Phone: (610) 644-7100
Fax: (610) 644-7111
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 200200107 North Carolina

Profile Details

NPI number 1528034071
LBN Legal business name Desantis, Donald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Apr 10th, 2017 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528034071 NPPES
North Carolina Other 1700922 UNITED HEALTHCARE NUMBER
North Carolina Other 5435826 UNITED HEALTHCARE NUMBER
North Carolina MEDICAID 89137P1 UNITED HEALTHCARE NUMBER
North Carolina Other 4087699 UNITED HEALTHCARE NUMBER
North Carolina Other D5599 UNITED HEALTHCARE NUMBER
North Carolina Other 2130600 UNITED HEALTHCARE NUMBER
North Carolina Other 137P1 UNITED HEALTHCARE NUMBER
North Carolina Other 804764 UNITED HEALTHCARE NUMBER

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