Gonzales, Janice S

Gonzales, Janice S is an individual health care provider with primary practice located at 4100 E Piedras Dr Suite 205, San Antonio TX 78228-1401. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Gonzales, Janice S can be contacted via phone (210) 745-3940.

Contact Information

Primary practice address
4100 E Piedras Dr Suite 205 San Antonio TX 78228-1401
Fax: (210) 745-3938
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 31249 Texas

Profile Details

NPI number 1578691549
LBN Legal business name Gonzales, Janice S
Credentials LBSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Jul 9th, 2007 - about 17 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 1578691549 NPPES
Texas MEDICAID 31249

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