Alisuag, Andres

Alisuag, Andres is an sole proprietor health care provider with primary practice located at 9001 Digges Road Suite 101, Manassas VA 20110-4414. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Alisuag, Andres can be contacted via phone (703) 369-7744.

Contact Information

Primary practice address
9001 Digges Road Suite 101 Manassas VA 20110-4414
Phone: (703) 369-7744
Fax: (703) 369-5097
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0101029889 Virginia

Profile Details

NPI number 1417064759
LBN Legal business name Alisuag, Andres
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2006
Last updated May 5th, 2013 - about 12 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 1417064759 NPPES
Other 003860 ANTHEM BCBS
MEDICAID 006079253 ANTHEM BCBS

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