Santiago, Jason A

Santiago, Jason A is an individual health care provider with primary practice located at 3980 Sheridan Dr Suite 200, Amherst NY 14226-1727. 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. Santiago, Jason A can be contacted via phone (716) 250-2000.

Contact Information

Primary practice address
3980 Sheridan Dr Suite 200 Amherst NY 14226-1727
Phone: (716) 250-2000
Fax: (716) 636-1365
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 010584 New York

Profile Details

NPI number 1568450989
LBN Legal business name Santiago, Jason A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Jul 8th, 2007 - about 19 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 1568450989 NPPES
New York Other 061018000088 FIDELIS
New York Other 9512962 FIDELIS

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