Provider Demographics
NPI:1922547413
Name:SANTEL, PATRICK J (LMP)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:J
Last Name:SANTEL
Suffix:
Gender:M
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:982 SW CAMANO DR
Mailing Address - Street 2:
Mailing Address - City:CAMANO ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98282-8436
Mailing Address - Country:US
Mailing Address - Phone:314-210-0267
Mailing Address - Fax:360-572-4480
Practice Address - Street 1:7104 265TH ST NW
Practice Address - Street 2:SUITE 115
Practice Address - City:STANWOOD
Practice Address - State:WA
Practice Address - Zip Code:98292-6169
Practice Address - Country:US
Practice Address - Phone:360-322-8549
Practice Address - Fax:360-572-4480
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-16
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60702311174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist