Desena, Danforth S

Desena, Danforth S is an individual health care provider with primary practice located at 68 Marginal Way 4Th Floor, Portland ME 04101-2444. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Desena, Danforth S can be contacted via phone (207) 879-1339.

Contact Information

Primary practice address
68 Marginal Way 4Th Floor Portland ME 04101-2444
Phone: (207) 879-1339
Fax: (207) 879-1092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X POD170 Maine

Profile Details

NPI number 1881669836
LBN Legal business name Desena, Danforth S
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Jan 11th, 2011 - 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 1881669836 NPPES
Maine MEDICAID 114830099

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