Villasenor, Nazario

Villasenor, Nazario is an individual health care provider with primary practice located at 106 Allen St , Cumming GA 30040-2602. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Villasenor, Nazario can be contacted via phone (678) 455-8693.

Contact Information

Primary practice address
106 Allen St Cumming GA 30040-2602
Phone: (678) 455-8693
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 64985 Georgia
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 64985 Georgia
Allopathic & Osteopathic Physicians / Addiction Medicine 207LA0401X 64985 Georgia

Profile Details

NPI number 1326241563
LBN Legal business name Villasenor, Nazario
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2007
Last updated May 14th, 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 1326241563 NPPES
Georgia MEDICAID 003110098B

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