Villasenor, Roberto M

Villasenor, Roberto M is an individual health care provider with primary practice located at 916 Middleford Rd , Seaford DE 19973-3604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Villasenor, Roberto M can be contacted via phone (302) 629-7605.

Contact Information

Primary practice address
916 Middleford Rd Seaford DE 19973-3604
Phone: (302) 629-7605
Fax: (302) 629-2323
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X C10001573 Delaware

Profile Details

NPI number 1497753255
LBN Legal business name Villasenor, Roberto M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Dec 7th, 2007 - about 19 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 1497753255 NPPES
Delaware MEDICAID 103501

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