Desantis, Nick A
Desantis, Nick A is an sole proprietor health care provider with primary practice located at 1801 Redrock Dr , Gallup NM 87301-5655. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Desantis, Nick A can be contacted via phone (505) 863-4457.Contact Information
Primary practice address
1801 Redrock Dr
Gallup NM 87301-5655
Phone: (505) 863-4457
Fax: (505) 722-4310
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 1345 | New Mexico |
Profile Details
| NPI number | 1679606834 |
|---|---|
| LBN Legal business name | Desantis, Nick A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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