Santos, Elaine T

Santos, Elaine T is an individual health care provider with primary practice located at 5501 N 19Th Ave Ste 400 , Phoenix AZ 85015-2456. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Santos, Elaine T can be contacted via phone (602) 249-9161.

Contact Information

Primary practice address
5501 N 19Th Ave Ste 400 Phoenix AZ 85015-2456
Fax: (602) 246-2853
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 28536 Arizona

Profile Details

NPI number 1609879964
LBN Legal business name Santos, Elaine T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Nov 27th, 2019 - about 6 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 1609879964 NPPES
Arizona MEDICAID 532459

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