Villanueva, Candelario
Villanueva, Candelario is an individual health care provider with primary practice located at 3500 Latouche St Suite 110, Anchorage AK 99508-4209. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Villanueva, Candelario can be contacted via phone (907) 562-2845.Contact Information
Primary practice address
3500 Latouche St Suite 110
Anchorage AK 99508-4209
Phone: (907) 562-2845
Fax: (907) 562-2956
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | AA159 | Alaska |
Profile Details
| NPI number | 1477722296 |
|---|---|
| LBN Legal business name | Villanueva, Candelario |
| Credentials | DISPENSUNG OPTICIAN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2008 |
| Last updated | Feb 26th, 2008 - about 16 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 | 1477722296 | NPPES |
| Alaska | MEDICAID | OP1159 |
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