Gonzalez, Luisa

Gonzalez, Luisa is an individual health care provider with primary practice located at 75 Calhoun St , Charleston SC 29401-3538. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Gonzalez, Luisa can be contacted via phone (843) 402-7818.

Contact Information

Primary practice address
75 Calhoun St Charleston SC 29401-3538
Phone: (843) 402-7818
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 270331 South Carolina

Profile Details

NPI number 1457760233
LBN Legal business name Gonzalez, Luisa
Credentials ED.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2014
Last updated Aug 6th, 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 1457760233 NPPES
South Carolina MEDICAID 1588615918

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