Villanueva, Micheal

Villanueva, Micheal is an sole proprietor health care provider with primary practice located at 124 East, Miracle Strip Parkway Suite 602, Mary Esther FL 32569-1991. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Villanueva, Micheal can be contacted via phone (850) 243-7035.

Contact Information

Primary practice address
124 East, Miracle Strip Parkway Suite 602 Mary Esther FL 32569-1991
Phone: (850) 243-7035
Fax: (850) 243-8529
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH14108

Profile Details

NPI number 1649629833
LBN Legal business name Villanueva, Micheal
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2016
Last updated Aug 19th, 2016 - about 10 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 1649629833 NPPES
Florida Other 812734966 TAX ID #

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