Subauste, Jose Santiago

Subauste, Jose Santiago is an individual health care provider with primary practice located at 1500 E Woodrow Wilson Ave R&E Building (151) - Vamc, Jackson MS 39216-5116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Subauste, Jose Santiago can be contacted via phone (601) 362-4471.

Contact Information

Primary practice address
1500 E Woodrow Wilson Ave R&E Building (151) - Vamc Jackson MS 39216-5116
Phone: (601) 362-4471
Fax: (601) 364-1390
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 16940 Mississippi

Profile Details

NPI number 1194758292
LBN Legal business name Subauste, Jose Santiago
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Jun 15th, 2012 - about 12 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 1194758292 NPPES
Mississippi Other 512I110033 PTAN
Mississippi MEDICAID 00122769 PTAN

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