Disanto, David J
Disanto, David J is an sole proprietor health care provider with primary practice located at 2464 Pawtucket Avenue , East Providence RI 02914. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Disanto, David J can be contacted via phone (401) 431-0226.Contact Information
Primary practice address
2464 Pawtucket Avenue
East Providence RI 02914
Phone: (401) 431-0226
Fax: (401) 434-3166
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 5417 | Rhode Island |
Profile Details
| NPI number | 1720174501 |
|---|---|
| LBN Legal business name | Disanto, David J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1720174501 | NPPES |
| Rhode Island | Other | 002602 | BLUE CHIP |
| Rhode Island | Other | DAM13785 | BLUE CHIP |
| Rhode Island | Other | 06-00102 | BLUE CHIP |
| Rhode Island | Other | 1603-8 | BLUE CHIP |
| Rhode Island | MEDICAID | 9001603 | BLUE CHIP |
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