Santiago, Bianca Ivette

Santiago, Bianca Ivette is an individual health care provider with primary practice located at 100 E Lehigh Ave Chc-2-East, Philadelphia PA 19125-1012. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Santiago, Bianca Ivette can be contacted via phone (215) 707-1118.

Contact Information

Primary practice address
100 E Lehigh Ave Chc-2-East Philadelphia PA 19125-1012
Phone: (215) 707-1118
Fax: (215) 707-1120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA051267 Pennsylvania

Profile Details

NPI number 1952385197
LBN Legal business name Santiago, Bianca Ivette
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Oct 21st, 2014 - about 10 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 1952385197 NPPES
Other 121986 MEDICARE
Other 597586 MEDICARE

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