Santana, Timothy Andrew

Santana, Timothy Andrew is an individual health care provider with primary practice located at 1110 Professional Ct , Hagerstown MD 21740-5826. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Santana, Timothy Andrew can be contacted via phone (240) 420-5559.

Contact Information

Primary practice address
1110 Professional Ct Hagerstown MD 21740-5826
Phone: (240) 420-5559
Fax: (240) 420-3786
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 244446 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 49407 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R176827 Maryland

Profile Details

NPI number 1861471518
LBN Legal business name Santana, Timothy Andrew
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated May 3rd, 2010 - about 16 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 1861471518 NPPES
District of Columbia Other S417-0026 CAREFIRST BCBS
District of Columbia Other 23333 CAREFIRST BCBS
District of Columbia Other P00745069 CAREFIRST BCBS
District of Columbia MEDICAID 419264800 CAREFIRST BCBS
District of Columbia Other KBC1CH CAREFIRST BCBS

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