De Villa, Victor Adalbert Geraldez

De Villa, Victor Adalbert Geraldez is an individual health care provider with primary practice located at 720 S Vanburen St Suite 104, Green Bay WI 54301-3538. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. De Villa, Victor Adalbert Geraldez can be contacted via phone (920) 433-6050.

Contact Information

Primary practice address
720 S Vanburen St Suite 104 Green Bay WI 54301-3538
Fax: (920) 433-6049
Website:

Health care specialties

Profile Details

NPI number 1043485139
LBN Legal business name De Villa, Victor Adalbert Geraldez
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2008
Last updated Mar 5th, 2019 - 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 1043485139 NPPES
Nebraska Other P00705495 RAILROAD MEDICARE
Nebraska MEDICAID 10026169400 RAILROAD MEDICARE
Nebraska MEDICAID 10026133000 RAILROAD MEDICARE

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