Desselle, Wesley Joseph

Desselle, Wesley Joseph is an individual health care provider with primary practice located at 1751 Veterans Dr Ste 125 , Florence AL 35630-4932. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Other Service Providers / Specialist is his primary health care specialty. Desselle, Wesley Joseph can be contacted via phone (256) 766-0150.

Contact Information

Primary practice address
1751 Veterans Dr Ste 125 Florence AL 35630-4932
Phone: (256) 766-0150
Fax: (256) 764-4638
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25005 Alabama
Allopathic & Osteopathic Physicians / Surgery 208600000X 00025005 Louisiana

Profile Details

NPI number 1700887577
LBN Legal business name Desselle, Wesley Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated May 6th, 2020 - about 5 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 1700887577 NPPES
Alabama Other 102I029080 MEDICARE
Alabama MEDICAID 114472 MEDICARE
Alabama Other 511-13246 MEDICARE
Alabama MEDICAID 1790879559 MEDICARE
Alabama Other 511-89054 MEDICARE
Alabama MEDICAID 196318 MEDICARE
Alabama Other 529001490 MEDICARE
Alabama Other 63-0962367 MEDICARE

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