Galvez, Connie J

Galvez, Connie J is an individual health care provider with primary practice located at 116 S Palisade Dr Suite 104, Santa Maria CA 93454-8904. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Galvez, Connie J can be contacted via phone (805) 349-8972.

Contact Information

Primary practice address
116 S Palisade Dr Suite 104 Santa Maria CA 93454-8904
Phone: (805) 349-8972
Fax: (805) 349-8958
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 186786 California

Profile Details

NPI number 1417009671
LBN Legal business name Galvez, Connie J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Jun 9th, 2015 - about 9 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 1417009671 NPPES
California Other 186786 STATE LICENSE NUMBER

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