Villafane, Minerva
Villafane, Minerva is an individual health care provider with primary practice located at Pathways Center 122-C Gordon Commercial Dr, Lagrange GA 30240-5754. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Villafane, Minerva can be contacted via phone (706) 845-4045.Contact Information
Primary practice address
Pathways Center 122-C Gordon Commercial Dr
Lagrange GA 30240-5754
Phone: (706) 845-4045
Fax: (706) 845-4367
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | MD439863 | Pennsylvania |
Profile Details
| NPI number | 1073587895 |
|---|---|
| LBN Legal business name | Villafane, Minerva |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2006 |
| Last updated | Jul 10th, 2018 - about 6 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 | 1073587895 | NPPES |
| Georgia | MEDICAID | 000856413A |
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