Centurion, Santiago Alberto
Centurion, Santiago Alberto is an individual health care provider with primary practice located at 106 Lynch Creek Way Suite 8, Petaluma CA 94954-2356. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Centurion, Santiago Alberto can be contacted via phone (707) 763-6816.Contact Information
Primary practice address
106 Lynch Creek Way Suite 8
Petaluma CA 94954-2356
Phone: (707) 763-6816
Fax: (707) 763-1730
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 25MA07649600 | New Jersey |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | A866380 | California |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | A866380 | California |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | A866380 | California |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 231911-1 | New York |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 231911-1 | New York |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 231911-1 | New York |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 25MA07649600 | New Jersey |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 25MA07649600 | New Jersey |
Profile Details
| NPI number | 1710099585 |
|---|---|
| LBN Legal business name | Centurion, Santiago Alberto |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Feb 24th, 2011 - about 14 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.
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