Gonzalez, Mary Theresa

Gonzalez, Mary Theresa is an individual health care provider with primary practice located at 128 N Lincoln Ave , Newtown PA 18940-2214. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as his primary health care specialty. Gonzalez, Mary Theresa can be contacted via phone (215) 860-0629.

Contact Information

Primary practice address
128 N Lincoln Ave Newtown PA 18940-2214
Phone: (215) 860-0629
Fax: (215) 860-0629
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X RN256859L Pennsylvania

Profile Details

NPI number 1396928487
LBN Legal business name Gonzalez, Mary Theresa
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2007
Last updated Mar 30th, 2021 - about 3 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 1396928487 NPPES
Other 83-07571 EVERCARE
Other GO509036 EVERCARE

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