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
Fax: (703) 499-9341
Website:

Health care specialties

SpecialtyCodeLicense #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 17 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 1548226210 NPPES
Virginia Other 046065 ANTHEM BC/BS

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