Villarreal, Carlos X

Villarreal, Carlos X is an individual health care provider with primary practice located at 48 Tunnel Rd Suite 205, Pottsville PA 17901-3875. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Villarreal, Carlos X can be contacted via phone (570) 622-1400.

Contact Information

Primary practice address
48 Tunnel Rd Suite 205 Pottsville PA 17901-3875
Fax: (570) 622-8900
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD039215L Pennsylvania

Profile Details

NPI number 1518930346
LBN Legal business name Villarreal, Carlos X
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Sep 2nd, 2009 - about 15 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 1518930346 NPPES
Pennsylvania MEDICAID 001074330

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