Desantis, Pamela Sue

Desantis, Pamela Sue is an individual health care provider with primary practice located at 2904 Seminary Dr , Greensburg PA 15601-3700. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Desantis, Pamela Sue can be contacted via phone (724) 832-8272.

Contact Information

Primary practice address
2904 Seminary Dr Greensburg PA 15601-3700
Fax: (724) 837-8278
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OC005974L Pennsylvania

Profile Details

NPI number 1295858686
LBN Legal business name Desantis, Pamela Sue
Credentials MOTRL
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2007
Last updated Jul 9th, 2007 - about 17 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 1295858686 NPPES
Pennsylvania MEDICAID 01889355

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