Gonsalves, Bernadette Louise

Gonsalves, Bernadette Louise is an individual health care provider with primary practice located at 2115 Centerpointe Pkwy , Santa Maria CA 93455-1334. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gonsalves, Bernadette Louise can be contacted via phone (805) 346-7230.

Contact Information

Primary practice address
2115 Centerpointe Pkwy Santa Maria CA 93455-1334
Phone: (805) 346-7230
Fax: (805) 346-7272
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA16394 California

Profile Details

NPI number 1083631790
LBN Legal business name Gonsalves, Bernadette Louise
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Mar 5th, 2008 - 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 1083631790 NPPES
California Other PA16394 MED LICENSE

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