Desantis, Megan G

Desantis, Megan G is an individual health care provider with primary practice located at 4 Elliot Way Suite302, Manchester NH 03103-3547. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Desantis, Megan G can be contacted via phone (603) 627-1887.

Contact Information

Primary practice address
4 Elliot Way Suite302 Manchester NH 03103-3547
Fax: (603) 627-1890
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0462 New Hampshire

Profile Details

NPI number 1629042858
LBN Legal business name Desantis, Megan G
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Jul 8th, 2007 - about 19 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 1629042858 NPPES
New Hampshire MEDICAID 30332481

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