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
Phone: (864) 227-6818
Fax: (864) 227-0850
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1568454205 | NPPES |
South Carolina | MEDICAID | T79233 |
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