Santiago, Joseph Santos

Santiago, Joseph Santos is an sole proprietor health care provider with primary practice located at 2900 Lemay Ferry Rd Suite 217, Saint Louis MO 63125-3900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Santiago, Joseph Santos can be contacted via phone (314) 894-8865.

Contact Information

Primary practice address
2900 Lemay Ferry Rd Suite 217 Saint Louis MO 63125-3900
Phone: (314) 894-8865
Fax: (314) 894-7409
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36856 Missouri

Profile Details

NPI number 1366413338
LBN Legal business name Santiago, Joseph Santos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2006
Last updated Mar 14th, 2017 - about 8 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 1366413338 NPPES
Missouri MEDICAID 202431904

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