Canestrini, Dean
Canestrini, Dean is an individual health care provider with primary practice located at 6600 Van Aalst Blvd , Fort Moore GA 31905-2102. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Canestrini, Dean can be contacted via phone (762) 408-2273.Contact Information
Primary practice address
6600 Van Aalst Blvd
Fort Moore GA 31905-2102
Phone: (762) 408-2273
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 01087475A | Indiana |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 01087475A | Indiana |
Profile Details
NPI number | 1215430004 |
---|---|
LBN Legal business name | Canestrini, Dean |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 17th, 2018 |
Last updated | Jul 2nd, 2024 - about last year |
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 | 1215430004 | NPPES |
Indiana | Other | 01087475A | STATE MEDICAL LICENSE |
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