Individual
DR. ISRAEL VILLEGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
701 N GODDARD RD STE A, GODDARD, KS 67052-9036
(316) 794-8410
(316) 794-8466
Mailing address
701 N GODDARD RD STE A, GODDARD, KS 67052-9036
(316) 794-8410
(316) 794-8466
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
KS 01-04020
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014211
BC/BS ID
KS
01
—
KS2757
PCC ID
KS
Enumeration date
09/14/2006
Last updated
07/08/2007
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