Desantis, Martin John
Desantis, Martin John is an individual health care provider with primary practice located at 125 S 5Th St , Reading PA 19602-1662. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Desantis, Martin John can be contacted via phone (610) 685-2188.Contact Information
Primary practice address
125 S 5Th St
Reading PA 19602-1662
Phone: (610) 685-2188
Fax: (610) 685-2183
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | OS015668 | Pennsylvania |
Profile Details
| NPI number | 1902091036 |
|---|---|
| LBN Legal business name | Desantis, Martin John |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2007 |
| Last updated | Jan 5th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902091036 | NPPES |
| Pennsylvania | MEDICAID | 102621640 |
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