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
Phone: (602) 249-9161
Fax: (602) 246-2853
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1609879964 | NPPES |
Arizona | MEDICAID | 532459 |
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