Santiano, Jesus G

Santiano, Jesus G is an individual health care provider with primary practice located at 100 8Th Street , Pocomoke MD 21851-1129. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Santiano, Jesus G can be contacted via phone (410) 957-1310.

Contact Information

Primary practice address
100 8Th Street Pocomoke MD 21851-1129
Fax: (410) 957-3904
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X D0002556 Maryland

Profile Details

NPI number 1003920885
LBN Legal business name Santiano, Jesus G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Jul 6th, 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 1003920885 NPPES
Maryland MEDICAID 043611900

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