Cervantes, Alfredo
Cervantes, Alfredo is an individual health care provider with primary practice located at 71 South Flannagan Ave , Lebanon VA 24266. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Cervantes, Alfredo can be contacted via phone (276) 883-8042.Contact Information
Primary practice address
71 South Flannagan Ave
Lebanon VA 24266
Phone: (276) 883-8042
Fax: (276) 883-8044
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 0101056973 | Virginia |
Profile Details
| NPI number | 1821097130 |
|---|---|
| LBN Legal business name | Cervantes, Alfredo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Oct 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821097130 | NPPES |
| Virginia | MEDICAID | 1821097130 |
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