Eide, Gloria Alexis Villegas

Eide, Gloria Alexis Villegas is an individual health care provider with primary practice located at 3075 Adeline St Ste 120 , Berkeley CA 94703-2579. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Eide, Gloria Alexis Villegas can be contacted via phone (510) 848-1112.

Contact Information

Primary practice address
3075 Adeline St Ste 120 Berkeley CA 94703-2579
Phone: (510) 848-1112
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1720461346
LBN Legal business name Eide, Gloria Alexis Villegas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2015
Last updated Sep 12th, 2018 - about 8 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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