Gonzalez, Rodolfo Hector
Gonzalez, Rodolfo Hector is an sole proprietor health care provider with primary practice located at 1860 Town Center Dr Ste 350, Reston VA 20190-5896. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Gonzalez, Rodolfo Hector can be contacted via phone (703) 435-8256.Contact Information
Primary practice address
1860 Town Center Dr Ste 350
Reston VA 20190-5896
Phone: (703) 435-8256
Fax: (703) 435-3337
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 0101222040 | Virginia |
Profile Details
| NPI number | 1508955964 |
|---|---|
| LBN Legal business name | Gonzalez, Rodolfo Hector |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Nov 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508955964 | NPPES |
| Virginia | Other | 1003953928 | NPI CORPORATION |
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