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
Fax: (484) 575-5556
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700886298 NPPES
Virginia Other 324615 BCBS

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