Villalobos, Miguel Angel

Villalobos, Miguel Angel is an sole proprietor health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Villalobos, Miguel Angel can be contacted via phone (601) 984-5102.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-5102
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 25107 Mississippi
Allopathic & Osteopathic Physicians / Surgery 208600000X MT198237 Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X 1598071987 Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X 25MA09873900 New Jersey

Profile Details

NPI number 1598071987
LBN Legal business name Villalobos, Miguel Angel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2010
Last updated Jul 21st, 2022 - about 4 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 1598071987 NPPES
Mississippi MEDICAID 25107

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