Santiago, Eric Lawrence

Santiago, Eric Lawrence is an sole proprietor health care provider with primary practice located at Psc 482 C/O Internal Medicine Clinic, Fpo AP 96362-1600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Santiago, Eric Lawrence can be contacted via phone (315) 643-7714.

Contact Information

Primary practice address
Psc 482 C/O Internal Medicine Clinic Fpo AP 96362-1600
Phone: (315) 643-7714
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35.096317 Ohio

Profile Details

NPI number 1457502114
LBN Legal business name Santiago, Eric Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2008
Last updated Dec 14th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457502114 NPPES
Ohio MEDICAID 3130123

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