Desautel, David A

Desautel, David A is an individual health care provider with primary practice located at #1 Burdick Expy W , Minot ND 58701-4406. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Desautel, David A can be contacted via phone (701) 857-5124.

Contact Information

Primary practice address
#1 Burdick Expy W Minot ND 58701-4406
Phone: (701) 857-5124
Fax: (701) 857-3264
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R19708 North Dakota

Profile Details

NPI number 1841389160
LBN Legal business name Desautel, David A
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Feb 15th, 2012 - about 13 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 1841389160 NPPES
North Dakota MEDICAID 12600

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