Santa, Andrea

Santa, Andrea is an sole proprietor health care provider with primary practice located at 11925 Lithopolis Rd Nw , Canal Winchester OH 43110-9585. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Santa, Andrea can be contacted via phone (614) 837-6363.

Contact Information

Primary practice address
11925 Lithopolis Rd Nw Canal Winchester OH 43110-9585
Phone: (614) 837-6363
Fax: (614) 837-0425
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 50.001393RX Ohio

Profile Details

NPI number 1881809085
LBN Legal business name Santa, Andrea
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2007
Last updated Aug 9th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881809085 NPPES
Ohio MEDICAID 0075070

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