Villarreal, Baldemar

Villarreal, Baldemar is an individual health care provider with primary practice located at Bldg 159 Trout Ave , Groton CT 06340. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Villarreal, Baldemar can be contacted via phone (210) 815-0930.

Contact Information

Primary practice address
Bldg 159 Trout Ave Groton CT 06340
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1346092160
LBN Legal business name Villarreal, Baldemar
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2024
Last updated Apr 4th, 2024 - about 7 months 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.

Request for update

Popular Providers