Villella, Douglas J
Villella, Douglas J is an individual health care provider with primary practice located at 300 State St Suite 202, Erie PA 16507-1427. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Villella, Douglas J can be contacted via phone (814) 454-6517.Contact Information
Primary practice address
300 State St Suite 202
Erie PA 16507-1427
Phone: (814) 454-6517
Fax: (814) 454-0604
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OEG001102 | Pennsylvania |
Profile Details
| NPI number | 1326073248 |
|---|---|
| LBN Legal business name | Villella, Douglas J |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | May 13th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326073248 | NPPES |
| Pennsylvania | Other | 0727940001 | DMERC A |
| Pennsylvania | Other | DG8866 | DMERC A |
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