Santiago, Joanne Andre'

Santiago, Joanne Andre' is an individual health care provider with primary practice located at 549 W Avon Rd , Avon CT 06001-2909. She recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Sports Physician, Chiropractic Providers / Internist. Chiropractic Providers / Chiropractor is her primary health care specialty. Santiago, Joanne Andre' can be contacted via phone (860) 673-2225.

Contact Information

Primary practice address
549 W Avon Rd Avon CT 06001-2909
Phone: (860) 673-2225
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 259CT Connecticut
Chiropractic Providers / Sports Physician 111NS0005X 259CT Connecticut
Chiropractic Providers / Internist 111NI0900X 00259 Connecticut

Profile Details

NPI number 1689603078
LBN Legal business name Santiago, Joanne Andre'
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Nov 18th, 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 1689603078 NPPES
Connecticut MEDICAID 00410622

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