Vallesteros, Alfredo
Vallesteros, Alfredo is an individual health care provider with primary practice located at 3208 Hershberger Rd Nw , Roanoke VA 24017-1842. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Vallesteros, Alfredo can be contacted via phone (540) 366-5248.Contact Information
Primary practice address
3208 Hershberger Rd Nw
Roanoke VA 24017-1842
Phone: (540) 366-5248
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 0101221482 | Virginia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101221482 | Virginia |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | 0101221482 | Virginia |
Profile Details
| NPI number | 1265403158 |
|---|---|
| LBN Legal business name | Vallesteros, Alfredo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Aug 3rd, 2022 - about 4 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 | 1265403158 | NPPES |
| Virginia | MEDICAID | 010403626 | |
| Virginia | Other | P00403472 | |
| Virginia | MEDICAID | 1265403158 | |
| Virginia | Other | P00277240 |
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