Santillan, Elvis

Santillan, Elvis is an sole proprietor health care provider with primary practice located at 197 W Legion Rd , Brawley CA 92227-7727. 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. Santillan, Elvis can be contacted via phone (760) 351-3333.

Contact Information

Primary practice address
197 W Legion Rd Brawley CA 92227-7727
Phone: (760) 351-3333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 62052 California

Profile Details

NPI number 1043962814
LBN Legal business name Santillan, Elvis
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2022
Last updated Dec 29th, 2022 - about 4 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 1043962814 NPPES
Other NONE NONE

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