Desantis, Robert A

Desantis, Robert A is an individual health care provider with primary practice located at 1203 Ave B , Ellisville MS 39437-2080. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Desantis, Robert A can be contacted via phone (601) 477-8553.

Contact Information

Primary practice address
1203 Ave B Ellisville MS 39437-2080
Phone: (601) 477-8553
Fax: (601) 649-9944
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 31288 Alabama
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 13169 Mississippi

Profile Details

NPI number 1053350223
LBN Legal business name Desantis, Robert A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Mar 14th, 2024 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053350223 NPPES
Mississippi MEDICAID 00119497

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