Santorufo, Mildred Joann
Santorufo, Mildred Joann is an sole proprietor health care provider with primary practice located at 1275 Shiloh Rd Nw Ste 2051 , Kennesaw GA 30144-7199. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Santorufo, Mildred Joann can be contacted via phone (678) 737-4863.Contact Information
Primary practice address
1275 Shiloh Rd Nw Ste 2051
Kennesaw GA 30144-7199
Phone: (678) 737-4863
Fax: (706) 222-4016
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 054935 | Georgia |
Profile Details
| NPI number | 1134103450 |
|---|---|
| LBN Legal business name | Santorufo, Mildred Joann |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2005 |
| Last updated | Oct 15th, 2022 - about 2 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 | 1134103450 | NPPES |
| North Carolina | MEDICAID | 89066VF | |
| North Carolina | Other | 26465621 | |
| North Carolina | MEDICAID | 3307791 | |
| North Carolina | MEDICAID | 197568594B | |
| North Carolina | Other | P00040221 | |
| North Carolina | Other | P00927672 |
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