Gonzalez, Jennifer

Gonzalez, Jennifer is an individual health care provider with primary practice located at 103 Livingston Loop Ste B1 , Santa Teresa NM 88008-9747. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation, which is considered as her primary health care specialty. Gonzalez, Jennifer can be contacted via phone (915) 255-0487.

Contact Information

Primary practice address
103 Livingston Loop Ste B1 Santa Teresa NM 88008-9747
Phone: (915) 255-0487
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation 225XP0019X 3256 New Mexico
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation 225XP0019X 106449 Texas

Profile Details

NPI number 1750783999
LBN Legal business name Gonzalez, Jennifer
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2014
Last updated Sep 18th, 2014 - about 11 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 1750783999 NPPES
Texas MEDICAID CCP036997

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