Villanueva, Edward Eusebio

Villanueva, Edward Eusebio is an sole proprietor health care provider with primary practice located at 2501 Garrett Rd , Drexel Hill PA 19026-1010. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Villanueva, Edward Eusebio can be contacted via phone (610) 623-3540.

Contact Information

Primary practice address
2501 Garrett Rd Drexel Hill PA 19026-1010
Phone: (610) 623-3540
Fax: (610) 623-2327
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC003875L Pennsylvania
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X SC003875L Pennsylvania

Profile Details

NPI number 1346233053
LBN Legal business name Villanueva, Edward Eusebio
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 27th, 2005
Last updated Jan 7th, 2011 - about 13 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 1346233053 NPPES
Pennsylvania MEDICAID 0015260540002

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