Santillan, Jasper Lelis

Santillan, Jasper Lelis is an individual health care provider with primary practice located at 117 Deerwood Dr , Groton CT 06340-2546. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Santillan, Jasper Lelis can be contacted via phone (760) 500-7763.

Contact Information

Primary practice address
117 Deerwood Dr Groton CT 06340-2546
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1265145536
LBN Legal business name Santillan, Jasper Lelis
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2023
Last updated Jan 3rd, 2023 - about last year

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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