Villela, Daniel Rene

Villela, Daniel Rene is an individual health care provider with primary practice located at 166 Arrowood Dr , Groton CT 06340-2509. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Villela, Daniel Rene can be contacted via phone (912) 506-8705.

Contact Information

Primary practice address
166 Arrowood Dr Groton CT 06340-2509
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1528644960
LBN Legal business name Villela, Daniel Rene
Credentials SUBMARINE IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2021
Last updated Mar 23rd, 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 1528644960 NPPES
Virginia Other B66179906 VIRGINIA

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