Puppo, Louis

Puppo, Louis is an individual health care provider with primary practice located at 10692 Crestwood Dr Ste B , Manassas VA 20109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Puppo, Louis can be contacted via phone (703) 754-1524.

Contact Information

Primary practice address
10692 Crestwood Dr Ste B Manassas VA 20109
Phone: (703) 754-1524
Fax: (703) 754-7661
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101048370 Virginia

Profile Details

NPI number 1699802942
LBN Legal business name Puppo, Louis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Nov 1st, 2018 - about 8 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 1699802942 NPPES
Virginia MEDICAID 1699802942

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