Santiago, Terry Joan

Santiago, Terry Joan is an individual health care provider with primary practice located at 4244 Riverwalk Pkwy Suite 170, Riverside CA 92505-8509. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Santiago, Terry Joan can be contacted via phone (951) 736-7432.

Contact Information

Primary practice address
4244 Riverwalk Pkwy Suite 170 Riverside CA 92505-8509
Phone: (951) 736-7432
Fax: (951) 736-7751
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP14831 California

Profile Details

NPI number 1659410991
LBN Legal business name Santiago, Terry Joan
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Mar 16th, 2016 - 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 1659410991 NPPES
California Other P01080865 RR MEDICARE - SO CALIF

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