Desantis, Brian W
Desantis, Brian W is an individual health care provider with primary practice located at 2828 International Cir Suite 140, Colorado Springs CO 80910-3127. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Desantis, Brian W can be contacted via phone (719) 632-5700.Contact Information
Primary practice address
2828 International Cir Suite 140
Colorado Springs CO 80910-3127
Phone: (719) 632-5700
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 2690 | Colorado |
Profile Details
NPI number | 1861479024 |
---|---|
LBN Legal business name | Desantis, Brian W |
Credentials | PSY.D, |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 29th, 2005 |
Last updated | Apr 3rd, 2017 - about 8 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 | 1861479024 | NPPES |
Colorado | MEDICAID | 64456722 | |
Colorado | Other | COA101696 |
Popular Providers
-
Luna, Alberto Daniel
1115 Elkton Dr Ste 102 , Colorado Springs CO 80907-3597 -
Cleckler, Michelle
224 E Willamette Ave , Colorado Springs CO 80903-1114 -
Matzen, Ann Katherine
8361 Wilmington Dr # 0 , Colorado Springs CO 80920-7077 -
French, Kelsey
559 Vincent St Bldg 959 , Colorado Springs CO 80914-1541 -
Wesley, Katherine
4090 Briargate Pkwy , Colorado Springs CO 80920-7815 -
Hayduke, Ashley
4090 Briargate Pkwy , Colorado Springs CO 80920-7815 -
Whitney, Noelle Lynn
4090 Briargate Pkwy , Colorado Springs CO 80920-7815 -
Brown, Sarah A
4090 Briargate Pkwy , Colorado Springs CO 80920-7815