Villalta, Edward
Villalta, Edward is an individual health care provider with primary practice located at 717 Front St , Hempstead NY 11550-4534. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Villalta, Edward can be contacted via phone (516) 609-3100.Contact Information
Primary practice address
717 Front St
Hempstead NY 11550-4534
Phone: (516) 609-3100
Fax: (516) 609-0671
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 012840 | New York |
Profile Details
| NPI number | 1306298419 |
|---|---|
| LBN Legal business name | Villalta, Edward |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2016 |
| Last updated | Jul 13th, 2016 - about 8 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 | 1306298419 | NPPES |
| New York | Other | 012840 | LICENCE |
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