Villarreal, David

Villarreal, David is an individual health care provider with primary practice located at 395 Hospital Blvd , Jackson TN 38305-2080. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Villarreal, David can be contacted via phone (731) 664-7395.

Contact Information

Primary practice address
395 Hospital Blvd Jackson TN 38305-2080
Phone: (731) 664-7395
Fax: (731) 664-0057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 26380 Tennessee

Profile Details

NPI number 1609871821
LBN Legal business name Villarreal, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Jan 8th, 2013 - about 11 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 1609871821 NPPES
Tennessee Other 5969342 AETNA
Tennessee Other 3060477 AETNA
Tennessee MEDICAID 3089277 AETNA
Tennessee Other 020033489 AETNA

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