Desanto, Annemarie Paula
Desanto, Annemarie Paula is an individual health care provider with primary practice located at 2000 W Boulevard , Kokomo IN 46902-6079. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Desanto, Annemarie Paula can be contacted via phone (765) 456-1790.Contact Information
Primary practice address
2000 W Boulevard
Kokomo IN 46902-6079
Phone: (765) 456-1790
Fax: (765) 457-3561
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 01037590A | Indiana |
Profile Details
| NPI number | 1104813336 |
|---|---|
| LBN Legal business name | Desanto, Annemarie Paula |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2005 |
| Last updated | Feb 6th, 2019 - about 7 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 | 1104813336 | NPPES |
| Indiana | MEDICAID | 100103220A |
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