Dr. Michael Christopher Desantis
Family Doctor Family Doctor - Addiction Medicine
608 46th Avenue Dr Ne
Hickory
, North Carolina 28601-7318
Dr. Michael Christopher Desantis
Family Doctor Family Doctor - Addiction Medicine
608 46th Avenue Dr Ne
Hickory
, North Carolina 28601-7318
(828) 304-0033
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About
Features
Specialties
- Family Doctor
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Michael Christopher Desantis
- 608 46th Avenue Dr Ne
- Hickory, NC
- Zip : 28601-7318
- Fax : (828) 304-0033
- Phone : (828) 304-6363
Second Address
- Dr. Michael Christopher Desantis
- 608 46th Avenue Dr Ne
- Hickory, NC
- Zip : 28601-7318
- Fax : (828) 304-0033
- Phone : (828) 304-6363
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 98-00233 | NC |
| N | 207QA0401X | Family Doctor - Addiction Medicine | 98-00233 | NC |
National Provider Identifier
| NPI | 1780610394 |
|---|---|
| Provider Name | Dr. Michael Christopher Desantis |
| First Address | Hickory, NC 28601-7318 |
| Second Address | Hickory, NC 28601-7318 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/06/2006 |
| Last Update Date | 08/04/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 891144X | (05) | NC |
| F65290 | (02) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.