Santiago, Jerry
Santiago, Jerry is an sole proprietor health care provider with primary practice located at 12421 Paseo Alegre Dr , El Paso TX 79928-5664. He recently has only one registered license in Transportation Services / Non-emergency Medical Transport (VAN), which is considered as his primary health care specialty. Santiago, Jerry can be contacted via phone (915) 491-6447.Contact Information
Primary practice address
12421 Paseo Alegre Dr
El Paso TX 79928-5664
Phone: (915) 491-6447
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Transportation Services / Non-emergency Medical Transport (VAN) | 343900000X |
Profile Details
| NPI number | 1861074197 |
|---|---|
| LBN Legal business name | Santiago, Jerry |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 26th, 2021 |
| Last updated | Apr 26th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861074197 | NPPES |
| Texas | Other | 84-2405239 | DEPARTMENT OF THE TREASURY |
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