Brenda J Sickle Santanello Md Inc

LBN: Brenda J Sickle Santanello Md Inc
Brenda J Sickle Santanello Md Inc is an health care organization with primary practice located at 8100 Ravines Edge Ct Suite 100, Columbus OH 43235. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Brenda J Sickle Santanello Md Inc can be contacted via phone (614) 505-7510, or through Burk, Tamara M via phone (614) 505-7508.

Contact Information

Primary practice address
8100 Ravines Edge Ct Suite 100 Columbus OH 43235
Phone: (614) 505-7510
Fax: (614) 505-7512
Website:
Map and Directions
Authorized official contact:
Name: Burk, Tamara M
Phone: (614) 505-7508

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Other Service Providers / Specialist 174400000X 35050732 Ohio

Profile Details

NPI number 1962564401
LBN Legal business name Brenda J Sickle Santanello Md Inc
DBA Doing business as
Authorized official Burk, Tamara M
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2006
Last updated Feb 2nd, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962564401 NPPES
Ohio MEDICAID 2251405

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