Edgar Santillan Md Llc

LBN: Edgar Santillan Md Llc
Edgar Santillan Md Llc is an health care organization with primary practice located at 2400 Miami Valley Dr , Centerville OH 45459-4774. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is the primary health care specialty. Edgar Santillan Md Llc can be contacted via phone (937) 556-4324, or through Santillan, Edgar R via phone (937) 556-4324.

Contact Information

Primary practice address
2400 Miami Valley Dr Centerville OH 45459-4774
Phone: (937) 556-4324
Fax: (937) 439-3786
Website:
Map and Directions
Authorized official contact:
Name: Santillan, Edgar R Doctor of Medicine (MD)
Phone: (937) 556-4324

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35075548 Ohio
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 35075548 Ohio

Profile Details

NPI number 1114325321
LBN Legal business name Edgar Santillan Md Llc
DBA Doing business as
Authorized official Santillan, Edgar R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2014
Last updated Mar 23rd, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114325321 NPPES
Ohio MEDICAID 0117021

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