Dejo, Julio Alberto

Dejo, Julio Alberto is an individual health care provider with primary practice located at 8998 Fern Park Dr , Burke VA 22015. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Dejo, Julio Alberto can be contacted via phone (703) 323-1263.

Contact Information

Primary practice address
8998 Fern Park Dr Burke VA 22015
Phone: (703) 323-1263
Fax: (703) 323-1263
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101029979 Virginia

Profile Details

NPI number 1093879132
LBN Legal business name Dejo, Julio Alberto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Dec 29th, 2011 - about 15 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 1093879132 NPPES
Virginia MEDICAID 6094121

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