Santiago, Jesus
Santiago, Jesus is an individual health care provider with primary practice located at 25 Valley Dr , Greenwich CT 06831-5203. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Santiago, Jesus can be contacted via phone (203) 661-3333.Contact Information
Primary practice address
25 Valley Dr
Greenwich CT 06831-5203
Phone: (203) 661-3333
Fax: (203) 661-5610
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X |
Profile Details
| NPI number | 1215044672 |
|---|---|
| LBN Legal business name | Santiago, Jesus |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Oct 25th, 2011 - about 13 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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