Santistevan, Ernesto
Santistevan, Ernesto is an individual health care provider with primary practice located at 1807 2Nd St Ste 44 , Santa Fe NM 87505-3499. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Santistevan, Ernesto can be contacted via phone (505) 577-2607.Contact Information
Primary practice address
1807 2Nd St Ste 44
Santa Fe NM 87505-3499
Phone: (505) 577-2607
Fax: (505) 982-1096
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 688 | New Mexico |
Profile Details
| NPI number | 1114137684 |
|---|---|
| LBN Legal business name | Santistevan, Ernesto |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2007 |
| Last updated | Jul 30th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114137684 | NPPES |
| New Mexico | MEDICAID | Z0874 |
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