Bas, Mauricio Dionisio
Bas, Mauricio Dionisio is an sole proprietor health care provider with primary practice located at 1970 Opitz Blvd , Woodbridge VA 22191-3304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Bas, Mauricio Dionisio can be contacted via phone (703) 494-8174.Contact Information
Primary practice address
1970 Opitz Blvd
Woodbridge VA 22191-3304
Phone: (703) 494-8174
Fax: (703) 730-2155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 0101022428 | Virginia |
Profile Details
| NPI number | 1437247756 |
|---|---|
| LBN Legal business name | Bas, Mauricio Dionisio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437247756 | NPPES |
| Virginia | MEDICAID | 7449569 |
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