Santiago, John Robert

Santiago, John Robert is an sole proprietor health care provider with primary practice located at 8202 Excelsior Dr , Madison WI 53717-1906. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Santiago, John Robert can be contacted via phone (608) 662-5090.

Contact Information

Primary practice address
8202 Excelsior Dr Madison WI 53717-1906
Phone: (608) 662-5090
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 1092-046 Wisconsin

Profile Details

NPI number 1649404427
LBN Legal business name Santiago, John Robert
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2009
Last updated May 8th, 2009 - about 16 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 1649404427 NPPES
Wisconsin Other 1092-046 STATE LICENSE NUMBER

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