Desantis, Annette G

Desantis, Annette G is an individual health care provider with primary practice located at 18181 Oakwood Blvd Suite 411, Dearborn MI 48124-5032. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Desantis, Annette G can be contacted via phone (313) 438-7373.

Contact Information

Primary practice address
18181 Oakwood Blvd Suite 411 Dearborn MI 48124-5032
Phone: (313) 438-7373
Fax: (313) 438-7375
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X AD042312 Michigan

Profile Details

NPI number 1730135492
LBN Legal business name Desantis, Annette G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Nov 4th, 2013 - about 11 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 1730135492 NPPES
Other 2505035481 BCBS

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