Villasenor, Eduardo G.

Villasenor, Eduardo G. is an individual health care provider with primary practice located at 80 Mahalani St , Wailuku HI 96793-2531. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Villasenor, Eduardo G. can be contacted via phone (808) 243-6000.

Contact Information

Primary practice address
80 Mahalani St Wailuku HI 96793-2531
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A78762 California
Allopathic & Osteopathic Physicians / Surgery 208600000X MD-18173 Hawaii

Profile Details

NPI number 1073691804
LBN Legal business name Villasenor, Eduardo G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated May 12th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073691804 NPPES
California MEDICAID 00A787620

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