Gonzalez, Victoria Beatriz
Gonzalez, Victoria Beatriz is an individual health care provider with primary practice located at 2500 N State St Department Of Otolaryngology, Jackson MS 39216-4500. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Gonzalez, Victoria Beatriz can be contacted via phone (601) 815-4775.Contact Information
Primary practice address
2500 N State St Department Of Otolaryngology
Jackson MS 39216-4500
Phone: (601) 815-4775
Fax: (601) 984-6451
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | AY1572 | Florida |
Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | A3705 | Mississippi |
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | AY1572 | Florida |
Profile Details
NPI number | 1679723902 |
---|---|
LBN Legal business name | Gonzalez, Victoria Beatriz |
Credentials | AU.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 23rd, 2008 |
Last updated | Jan 31st, 2014 - about 10 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 | 1679723902 | NPPES |
Florida | MEDICAID | 002917500 | |
Florida | MEDICAID | 002917501 | |
Florida | MEDICAID | 00336063 |
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