Desantis, Diana Marie

Desantis, Diana Marie is an individual health care provider with primary practice located at 4875 Ward Road Suite 600, Wheat Ridge CO 80033. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Desantis, Diana Marie can be contacted via phone (303) 456-9456.

Contact Information

Primary practice address
4875 Ward Road Suite 600 Wheat Ridge CO 80033
Phone: (303) 456-9456
Fax: (303) 463-7560
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 31859 Colorado

Profile Details

NPI number 1952346249
LBN Legal business name Desantis, Diana Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Sep 1st, 2018 - about 6 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 1952346249 NPPES
Colorado MEDICAID 01318591
Colorado MEDICAID 1318591

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