Desantis, Michael Christopher

Desantis, Michael Christopher is an sole proprietor health care provider with primary practice located at 608 46Th Avenue Dr Ne , Hickory NC 28601-7318. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Desantis, Michael Christopher can be contacted via phone (828) 304-6363.

Contact Information

Primary practice address
608 46Th Avenue Dr Ne Hickory NC 28601-7318
Phone: (828) 304-6363
Fax: (828) 304-0033
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 98-00233 North Carolina
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 98-00233 North Carolina

Profile Details

NPI number 1780610394
LBN Legal business name Desantis, Michael Christopher
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2006
Last updated Apr 8th, 2020 - about 5 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 1780610394 NPPES
North Carolina MEDICAID 891144X

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