Desantis, Andrea Mary

Desantis, Andrea Mary is an individual health care provider with primary practice located at 251 Eastway Dr , Charlotte NC 28213-7103. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Desantis, Andrea Mary can be contacted via phone (704) 446-9991.

Contact Information

Primary practice address
251 Eastway Dr Charlotte NC 28213-7103
Phone: (704) 446-9991
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 9900471 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9900471 North Carolina

Profile Details

NPI number 1063597508
LBN Legal business name Desantis, Andrea Mary
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Jul 15th, 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.

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