Villarroel Fernandez, Omar Mijael
Villarroel Fernandez, Omar Mijael is an sole proprietor health care provider with primary practice located at 1401 E State St 3Rd Floor, Rockford IL 61104-2315. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Villarroel Fernandez, Omar Mijael can be contacted via phone (912) 658-1155.Contact Information
Primary practice address
1401 E State St 3Rd Floor
Rockford IL 61104-2315
Phone: (912) 658-1155
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 058592 | Georgia |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036117065 | Illinois |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | M-16558 | Idaho |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2018018492 | Missouri |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2008-01887 | North Carolina |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD2005-0619 | New Mexico |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 058592 | Georgia |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036117065 | Illinois |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 2018018492 | Missouri |
Profile Details
NPI number | 1457325334 |
---|---|
LBN Legal business name | Villarroel Fernandez, Omar Mijael |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 15th, 2006 |
Last updated | Aug 11th, 2022 - 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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