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Contact Information

JOSE R VILLAVICENCIO, MD
601 ST RT 664
LOGAN, OH43138
 Phone: 740-380-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JOSE R VILLAVICENCIO · (Male)

NPI Number 1265483580
Status Active
Credentials MD
Entity Individual
Enumeration date 05/12/2006
Last updated 05/29/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 35069935V
  • Other 000000326505 BCBS
  • Other P00139007 HOCKING MEDICARE RR
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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