Villafane, Juan

Villafane, Juan is an individual health care provider with primary practice located at 731 E Broadway , Louisville KY 40202-1711. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Villafane, Juan can be contacted via phone (502) 584-3200.

Contact Information

Primary practice address
731 E Broadway Louisville KY 40202-1711
Phone: (502) 584-3200
Fax: (502) 584-3333
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 24893 Kentucky

Profile Details

NPI number 1538201744
LBN Legal business name Villafane, Juan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Aug 14th, 2020 - 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 1538201744 NPPES
Kentucky MEDICAID 64248933
Kentucky MEDICAID 100020940

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