Santos, Charito M

Santos, Charito M is an individual health care provider with primary practice located at 13819 Hanson Blvd Nw , Andover MN 55304-7608. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Santos, Charito M can be contacted via phone (763) 392-4001.

Contact Information

Primary practice address
13819 Hanson Blvd Nw Andover MN 55304-7608
Phone: (763) 392-4001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 54594 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MT189896 Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 54594 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 58448 Minnesota

Profile Details

NPI number 1013103332
LBN Legal business name Santos, Charito M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2007
Last updated Dec 1st, 2015 - about 10 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 1013103332 NPPES
Wisconsin MEDICAID 1013103332

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