Santiago, Anthony J

Santiago, Anthony J is an individual health care provider with primary practice located at 516 Delaware St Se Clinic 1A, Minneapolis MN 55455-0356. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Santiago, Anthony J can be contacted via phone (612) 626-6688.

Contact Information

Primary practice address
516 Delaware St Se Clinic 1A Minneapolis MN 55455-0356
Fax: (612) 626-3217
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 43209 Arizona

Profile Details

NPI number 1912990060
LBN Legal business name Santiago, Anthony J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Jun 12th, 2014 - 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 1912990060 NPPES
Arizona MEDICAID 544779

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