Villarrubia, Wilfredo Austin
Villarrubia, Wilfredo Austin is an individual health care provider with primary practice located at 146 E Hospital Dr Ste 550 , West Columbia SC 29169-4843. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Villarrubia, Wilfredo Austin can be contacted via phone (803) 936-7140.Contact Information
Primary practice address
146 E Hospital Dr Ste 550
West Columbia SC 29169-4843
Phone: (803) 936-7140
Fax: (803) 936-7412
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 020884 | New York |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 4990 | South Carolina |
Profile Details
NPI number | 1568992030 |
---|---|
LBN Legal business name | Villarrubia, Wilfredo Austin |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 15th, 2017 |
Last updated | Jun 24th, 2024 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1568992030 | NPPES |
New York | MEDICAID | 04794932 |
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