Alexander Desjardins, CNIM
Specialist/Technologist, Other, Electroneurodiagnostic in Denver, CO. Individual provider (NPI-1).
NPI number1174091979
StatusActive
Last updated in NPPESNov 9, 2018
Details
- NPI
- 1174091979
- Entity type
- Individual (NPI-1)
- Name
- Alexander Desjardins
- Credential
- CNIM
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 9, 2018
- Last updated
- Nov 9, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZE0600X | Specialist/Technologist, Other, Electroneurodiagnostic | – | CO | Yes |
Practice location
4600 S Ulster St Ste 1225Denver, CO 80237-2696
Phone 720-287-3093
Mailing address
200 Poplar St Unit EDenver, CO 80220-6175
Phone 305-877-3884
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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