Gonzales, Veronica A

Gonzales, Veronica A is an sole proprietor health care provider with primary practice located at 36 Rustic Way , San Rafael CA 94901-1118. 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. Gonzales, Veronica A can be contacted via phone (925) 779-9709.

Contact Information

Primary practice address
36 Rustic Way San Rafael CA 94901-1118
Phone: (925) 779-9709
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA12489 California

Profile Details

NPI number 1245329606
LBN Legal business name Gonzales, Veronica A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2006
Last updated Dec 2nd, 2008 - 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 1245329606 NPPES
California Other 318979600 DEPARTMENT OF LABOR
California Other 970013241 DEPARTMENT OF LABOR
California Other OPA124890 DEPARTMENT OF LABOR

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