Patrick, Cristina Villanueva

Patrick, Cristina Villanueva is an individual health care provider with primary practice located at 103 Diecks Dr , Elizabethtown KY 42701-2444. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Patrick, Cristina Villanueva can be contacted via phone (270) 769-1397.

Contact Information

Primary practice address
103 Diecks Dr Elizabethtown KY 42701-2444
Phone: (270) 769-1397
Fax: (270) 765-4899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1493DT Kentucky

Profile Details

NPI number 1417943580
LBN Legal business name Patrick, Cristina Villanueva
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Mar 7th, 2023 - 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 1417943580 NPPES
Kentucky Other P00077642 RR MEDICARE
Kentucky MEDICAID 77000222 RR MEDICARE

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