Legesse, Dereje

Legesse, Dereje is an individual health care provider with primary practice located at 8109 Hinson Farm Road, #504 , Alexandria VA 22306-3427. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Legesse, Dereje can be contacted via phone (703) 787-0280.

Contact Information

Primary practice address
8109 Hinson Farm Road, #504 Alexandria VA 22306-3427
Phone: (703) 787-0280
Fax: (703) 778-0046
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101235106 Virginia

Profile Details

NPI number 1538150339
LBN Legal business name Legesse, Dereje
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Jun 17th, 2021 - about 5 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 1538150339 NPPES
Virginia MEDICAID 1538150339
Virginia MEDICAID 010157234
Virginia Other P00228902

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