Bruno, Dante De Los Santos
Bruno, Dante De Los Santos is an sole proprietor health care provider with primary practice located at 1020 Bill Tuck Hwy Ste 900, South Boston VA 24592-7136. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Bruno, Dante De Los Santos can be contacted via phone (484) 575-7555.Contact Information
Primary practice address
1020 Bill Tuck Hwy Ste 900
South Boston VA 24592-7136
Phone: (484) 575-7555
Fax: (484) 575-5556
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 53781 | Virginia |
Profile Details
NPI number | 1700886298 |
---|---|
LBN Legal business name | Bruno, Dante De Los Santos |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 26th, 2005 |
Last updated | Jul 7th, 2010 - about 14 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 | 1700886298 | NPPES |
Virginia | Other | 324615 | BCBS |
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