Villacis, Diego Cole

Villacis, Diego Cole is an individual health care provider with primary practice located at 36500 Aurora Dr , Summit WI 53066-4899. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Villacis, Diego Cole can be contacted via phone (262) 434-1000.

Contact Information

Primary practice address
36500 Aurora Dr Summit WI 53066-4899
Phone: (262) 434-1000
Fax: (262) 434-5050
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036139529 Illinois
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 036139529 Illinois
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 75491 Wisconsin

Profile Details

NPI number 1124399449
LBN Legal business name Villacis, Diego Cole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2012
Last updated Jul 17th, 2024 - about 2 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 1124399449 NPPES
Wisconsin MEDICAID 100174818

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