Desantis, Martin John

Desantis, Martin John is an individual health care provider with primary practice located at 125 S 5Th St , Reading PA 19602-1662. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Desantis, Martin John can be contacted via phone (610) 685-2188.

Contact Information

Primary practice address
125 S 5Th St Reading PA 19602-1662
Phone: (610) 685-2188
Fax: (610) 685-2183
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X OS015668 Pennsylvania

Profile Details

NPI number 1902091036
LBN Legal business name Desantis, Martin John
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2007
Last updated Jan 5th, 2016 - about 9 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 1902091036 NPPES
Pennsylvania MEDICAID 102621640

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