Desimone, Dennis Charles

Desimone, Dennis Charles is an individual health care provider with primary practice located at 2202 N John B Dennis Hwy Ste 204 , Kingsport TN 37660-5904. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is his primary health care specialty. Desimone, Dennis Charles can be contacted via phone (423) 245-1040.

Contact Information

Primary practice address
2202 N John B Dennis Hwy Ste 204 Kingsport TN 37660-5904
Phone: (423) 245-1040
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 20A17849 California
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 20A17849 California
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 5369 Tennessee

Profile Details

NPI number 1255599130
LBN Legal business name Desimone, Dennis Charles
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2008
Last updated Apr 1st, 2024 - about 7 months 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 1255599130 NPPES
Louisiana MEDICAID 2369351
Louisiana Other 000381

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