Villanueva, Purita Z
Villanueva, Purita Z is an sole proprietor health care provider with primary practice located at 609 E Orangeburg Ave Suite 201, Modesto CA 95350-5512. She recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as her primary health care specialty. Villanueva, Purita Z can be contacted via phone (209) 572-3224.Contact Information
Primary practice address
609 E Orangeburg Ave Suite 201
Modesto CA 95350-5512
Phone: (209) 572-3224
Fax: (209) 572-4528
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | A44551 | California |
Profile Details
| NPI number | 1164503496 |
|---|---|
| LBN Legal business name | Villanueva, Purita Z |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Oct 1st, 2009 - about 17 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 | 1164503496 | NPPES |
| California | Other | P00392834 | RAILROAD MEDICARE |
| California | Other | ZZZ48224Z | RAILROAD MEDICARE |
| California | Other | CD278Z | RAILROAD MEDICARE |
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