De Villa, Victor Adalbert Geraldez
De Villa, Victor Adalbert Geraldez is an individual health care provider with primary practice located at 720 S Vanburen St Suite 104, Green Bay WI 54301-3538. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. De Villa, Victor Adalbert Geraldez can be contacted via phone (920) 433-6050.Contact Information
Primary practice address
720 S Vanburen St Suite 104
Green Bay WI 54301-3538
Phone: (920) 433-6050
Fax: (920) 433-6049
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 4301114122 | Michigan |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 24449 | Nebraska |
Profile Details
| NPI number | 1043485139 |
|---|---|
| LBN Legal business name | De Villa, Victor Adalbert Geraldez |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 29th, 2008 |
| Last updated | Mar 5th, 2019 - about 7 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 | 1043485139 | NPPES |
| Nebraska | Other | P00705495 | RAILROAD MEDICARE |
| Nebraska | MEDICAID | 10026169400 | RAILROAD MEDICARE |
| Nebraska | MEDICAID | 10026133000 | RAILROAD MEDICARE |
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