Marana, Enrique Villa

Marana, Enrique Villa is an sole proprietor health care provider with primary practice located at 3485 N Main St , Farmville NC 27828-1466. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Marana, Enrique Villa can be contacted via phone (252) 753-3193.

Contact Information

Primary practice address
3485 N Main St Farmville NC 27828-1466
Phone: (252) 753-3193
Fax: (252) 753-7966
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X 200000090 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20000090 North Carolina

Profile Details

NPI number 1497717342
LBN Legal business name Marana, Enrique Villa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2006
Last updated Feb 17th, 2010 - about 14 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 1497717342 NPPES
North Carolina MEDICAID 89126A3
North Carolina Other 126A3
North Carolina Other P00379704

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