Baltodano, Juan Diego

Baltodano, Juan Diego is an sole proprietor health care provider with primary practice located at 201 Wadsworth Dr , North Chesterfield VA 23236-4510. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Baltodano, Juan Diego can be contacted via phone (804) 289-1131.

Contact Information

Primary practice address
201 Wadsworth Dr North Chesterfield VA 23236-4510
Phone: (804) 289-1131
Fax: (804) 320-3102
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 0101243367 Virginia

Profile Details

NPI number 1861665945
LBN Legal business name Baltodano, Juan Diego
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2008
Last updated Apr 25th, 2013 - about 11 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 1861665945 NPPES
Virginia MEDICAID 1861665945

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