Desalvo, Michael G

Desalvo, Michael G is an individual health care provider with primary practice located at 3645 Houma Blvd , Metairie LA 70006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Desalvo, Michael G can be contacted via phone (504) 885-4677.

Contact Information

Primary practice address
3645 Houma Blvd Metairie LA 70006
Fax: (504) 888-0549
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MD09789R Louisiana

Profile Details

NPI number 1477504397
LBN Legal business name Desalvo, Michael G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Apr 22nd, 2008 - about 16 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 1477504397 NPPES
Louisiana MEDICAID 1968986

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