Desantis, Nicole Anna

Desantis, Nicole Anna is an individual health care provider with primary practice located at 104 Knox Ct , Davidson NC 28036-0590. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Desantis, Nicole Anna can be contacted via phone (704) 892-5454.

Contact Information

Primary practice address
104 Knox Ct Davidson NC 28036-0590
Phone: (704) 892-5454
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2023-01622 North Carolina

Profile Details

NPI number 1518595438
LBN Legal business name Desantis, Nicole Anna
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2020
Last updated Jun 30th, 2023 - about last year

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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