Gonzalez, Virginia Yajaira

Gonzalez, Virginia Yajaira is an sole proprietor health care provider with primary practice located at 402 Mcmillan Road , West Monroe LA 71291-5326. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Gonzalez, Virginia Yajaira can be contacted via phone (318) 338-3540.

Contact Information

Primary practice address
402 Mcmillan Road West Monroe LA 71291-5326
Fax: (318) 335-3542
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 11314R Louisiana

Profile Details

NPI number 1831272350
LBN Legal business name Gonzalez, Virginia Yajaira
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2006
Last updated Mar 27th, 2012 - about 12 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 1831272350 NPPES
Louisiana MEDICAID 1667781

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