Destefano, Joseph Anthony
Destefano, Joseph Anthony is an individual health care provider with primary practice located at 800 N Justice St , Hendersonville NC 28791-3410. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Destefano, Joseph Anthony can be contacted via phone (828) 694-7687.Contact Information
Primary practice address
800 N Justice St
Hendersonville NC 28791-3410
Phone: (828) 694-7687
Fax: (828) 694-5763
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101251249 | Virginia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 38537 | Tennessee |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 38537 | Tennessee |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2003-00332 | North Carolina |
Profile Details
| NPI number | 1508841032 |
|---|---|
| LBN Legal business name | Destefano, Joseph Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2005 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1508841032 | NPPES |
| Virginia | MEDICAID | 1508841032 | |
| Virginia | MEDICAID | 230214777C | |
| Virginia | MEDICAID | 1508841032 | |
| Virginia | MEDICAID | 3892268 | |
| Virginia | MEDICAID | 230214777B | |
| Virginia | Other | NC5448C | |
| Virginia | MEDICAID | GP3988 |
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