Desantis, Nicholas Nelson

Desantis, Nicholas Nelson is an sole proprietor health care provider with primary practice located at 2306 6Th Ave , San Diego CA 92101-1643. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Desantis, Nicholas Nelson can be contacted via phone (619) 239-3286.

Contact Information

Primary practice address
2306 6Th Ave San Diego CA 92101-1643
Phone: (619) 239-3286
Fax: (619) 239-0172
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E2474 California

Profile Details

NPI number 1053317545
LBN Legal business name Desantis, Nicholas Nelson
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2005
Last updated Jun 7th, 2013 - about 11 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 1053317545 NPPES
California Other 000E24740 BLUE CROSS
California MEDICAID 000E24741 BLUE CROSS

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