Santos, Igmidio A

Santos, Igmidio A is an individual health care provider with primary practice located at 1237 W Divide Ave Ste 5, Bismarck ND 58501-1208. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Santos, Igmidio A can be contacted via phone (701) 328-8888.

Contact Information

Primary practice address
1237 W Divide Ave Ste 5 Bismarck ND 58501-1208
Phone: (701) 328-8888
Fax: (701) 328-8900
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4316 North Dakota

Profile Details

NPI number 1730161613
LBN Legal business name Santos, Igmidio A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Jun 30th, 2011 - about 13 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 1730161613 NPPES
North Dakota Other 260025765 MEDICARE PTAN
North Dakota MEDICAID 15477 MEDICARE PTAN

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