Santoyo Lopez, Jesus Alberto
Santoyo Lopez, Jesus Alberto is an individual health care provider with primary practice located at 12800 Darby Brook Ct , Woodbridge VA 22192-2487. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Santoyo Lopez, Jesus Alberto can be contacted via phone (703) 490-3729.Contact Information
Primary practice address
12800 Darby Brook Ct
Woodbridge VA 22192-2487
Phone: (703) 490-3729
Fax: (703) 499-9341
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101040852 | Virginia |
Profile Details
| NPI number | 1548226210 |
|---|---|
| LBN Legal business name | Santoyo Lopez, Jesus Alberto |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 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 | 1548226210 | NPPES |
| Virginia | Other | 046065 | ANTHEM BC/BS |
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