Provider Demographics
NPI:1821714346
Name:DESENA HEALTH CONSULTING LLC
Entity Type:Organization
Organization Name:DESENA HEALTH CONSULTING LLC
Other - Org Name:MARYLAND SPINE AND HEALTH CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:DESENA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:717-658-1928
Mailing Address - Street 1:18516 NATHAN CT
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740
Mailing Address - Country:US
Mailing Address - Phone:717-658-1928
Mailing Address - Fax:
Practice Address - Street 1:20680 SENECA MEADOWS PKWY STE 213
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876-7029
Practice Address - Country:US
Practice Address - Phone:240-454-2024
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-17
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty