Desantis, Michaela Elizabeth

Desantis, Michaela Elizabeth is an individual health care provider with primary practice located at 600 Lincoln Ave , Charleston IL 61920-3011. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Desantis, Michaela Elizabeth can be contacted via phone (217) 581-3811.

Contact Information

Primary practice address
600 Lincoln Ave Charleston IL 61920-3011
Phone: (217) 581-3811
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 096004270 Illinois

Profile Details

NPI number 1093241887
LBN Legal business name Desantis, Michaela Elizabeth
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2017
Last updated May 11th, 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.

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