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Contact Information

SERGIO X SANTOS, BA, LISAC
5501 N 19TH AVE STE 103
PHOENIX, AZ85015
 Phone: 602-589-0500
 Fax: 602-314-4552
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for SERGIO X SANTOS · (Male)

NPI # 1144479718
Status Active
Credentials BA, LISAC
Entity Individual
Enumeration date 09/18/2008
Last updated 01/03/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # LISAC-1627
  • AZ Other 600241392 MAGELLAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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