Santos, Joe Anthony

Santos, Joe Anthony is an sole proprietor health care provider with primary practice located at 77 Calle Portal Ste C240 , Sierra Vista AZ 85635-2986. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Santos, Joe Anthony can be contacted via phone (520) 452-1436.

Contact Information

Primary practice address
77 Calle Portal Ste C240 Sierra Vista AZ 85635-2986
Phone: (520) 452-1436
Fax: (520) 452-1447
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 01103 Texas
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW 20331 Arizona

Profile Details

NPI number 1306076732
LBN Legal business name Santos, Joe Anthony
Credentials ACSW,LCSW,DCSW,BCD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2009
Last updated Mar 14th, 2018 - 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 1306076732 NPPES
Arizona MEDICAID 751843

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