Villareal, Rollo P

Villareal, Rollo P is an individual health care provider with primary practice located at 421 Epting Ave , Greenwood SC 29646-4041. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Villareal, Rollo P can be contacted via phone (864) 227-6818.

Contact Information

Primary practice address
421 Epting Ave Greenwood SC 29646-4041
Fax: (864) 227-0850
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 23754 South Carolina
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 23754 South Carolina

Profile Details

NPI number 1568454205
LBN Legal business name Villareal, Rollo P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Dec 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 1568454205 NPPES
South Carolina MEDICAID T79233

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