Villafane, Juan
Villafane, Juan is an individual health care provider with primary practice located at 731 E Broadway , Louisville KY 40202-1711. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Villafane, Juan can be contacted via phone (502) 584-3200.Contact Information
Primary practice address
731 E Broadway
Louisville KY 40202-1711
Phone: (502) 584-3200
Fax: (502) 584-3333
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 24893 | Kentucky |
Profile Details
| NPI number | 1538201744 |
|---|---|
| LBN Legal business name | Villafane, Juan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Aug 14th, 2020 - about 6 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 | 1538201744 | NPPES |
| Kentucky | MEDICAID | 64248933 | |
| Kentucky | MEDICAID | 100020940 |
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