Villarreal, Juan Manual

Villarreal, Juan Manual is an individual health care provider with primary practice located at 250 Park St , Bowling Green KY 42101-1760. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Villarreal, Juan Manual can be contacted via phone (270) 745-1000.

Contact Information

Primary practice address
250 Park St Bowling Green KY 42101-1760
Phone: (270) 745-1000
Fax: (270) 393-1913
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 29019 Kentucky
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 29019 Kentucky
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 29019 Kentucky
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 29019 Kentucky

Profile Details

NPI number 1831183375
LBN Legal business name Villarreal, Juan Manual
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Sep 1st, 2009 - about 16 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 1831183375 NPPES
Kentucky MEDICAID 64290190
Kentucky Other 050061640

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