Desky, Audrey B.
Desky, Audrey B. is an individual health care provider with primary practice located at 401 Bicentennial Way , Santa Rosa CA 95403-2149. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Desky, Audrey B. can be contacted via phone (707) 571-4000.Contact Information
Primary practice address
401 Bicentennial Way
Santa Rosa CA 95403-2149
Phone: (707) 571-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | A45387 | California |
Profile Details
| NPI number | 1366526352 |
|---|---|
| LBN Legal business name | Desky, Audrey B. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Dec 2nd, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366526352 | NPPES |
| California | MEDICAID | 00A453870 |
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