Santiago, Camilo

Santiago, Camilo is an individual health care provider with primary practice located at 2401 W University Ave , Muncie IN 47303-3428. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Santiago, Camilo can be contacted via phone (765) 289-6381.

Contact Information

Primary practice address
2401 W University Ave Muncie IN 47303-3428
Phone: (765) 289-6381
Fax: (765) 448-7646
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101237102 Virginia
Allopathic & Osteopathic Physicians / Surgery 208600000X 47614 Kentucky
Allopathic & Osteopathic Physicians / Surgery 208600000X 01081449A Indiana

Profile Details

NPI number 1124089313
LBN Legal business name Santiago, Camilo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Feb 16th, 2023 - about last year

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 1124089313 NPPES
Indiana MEDICAID 300021456
Indiana Other 090540392

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