Villanueva, Ian A

Villanueva, Ian A is an individual health care provider with primary practice located at 208 Ashville Ave Suite 14, Cary NC 27518-6678. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Villanueva, Ian A can be contacted via phone (919) 350-9625.

Contact Information

Primary practice address
208 Ashville Ave Suite 14 Cary NC 27518-6678
Phone: (919) 350-9625
Fax: (919) 851-6757
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 04-33427 Kansas
Allopathic & Osteopathic Physicians / Surgery 208600000X 2007-00579 North Carolina

Profile Details

NPI number 1225256076
LBN Legal business name Villanueva, Ian A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Apr 14th, 2021 - about 3 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 1225256076 NPPES
South Carolina Other N0057H MEDICAID
South Carolina MEDICAID 1225256076 MEDICAID
South Carolina MEDICAID 200585090A MEDICAID
South Carolina MEDICAID 5907030 MEDICAID
South Carolina MEDICAID N0057H MEDICAID
South Carolina Other 107539 MEDICAID
South Carolina Other 145WE MEDICAID

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