Escobar Acevedo, Luis Santiago

Escobar Acevedo, Luis Santiago is an individual health care provider with primary practice located at 101 Martin Luther King Dr , Mankato MN 56001-6460. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Escobar Acevedo, Luis Santiago can be contacted via phone (507) 625-4031.

Contact Information

Primary practice address
101 Martin Luther King Dr Mankato MN 56001-6460
Phone: (507) 625-4031
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 11704 Minnesota

Profile Details

NPI number 1922406222
LBN Legal business name Escobar Acevedo, Luis Santiago
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2014
Last updated Oct 24th, 2024 - about 2 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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