Guillermo, Carmen R.

Guillermo, Carmen R. is an sole proprietor health care provider with primary practice located at 1204 Cottonwood St Suite 6, Woodland CA 95695-4362. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as her primary health care specialty. Guillermo, Carmen R. can be contacted via phone (530) 668-1663.

Contact Information

Primary practice address
1204 Cottonwood St Suite 6 Woodland CA 95695-4362
Phone: (530) 668-1663
Fax: (530) 668-8150
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X AU310 AND HA3045 California

Profile Details

NPI number 1679615439
LBN Legal business name Guillermo, Carmen R.
Credentials M.A. (MASTER OF ARTS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2007
Last updated Jul 9th, 2007 - about 17 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 1679615439 NPPES
California MEDICAID AU0003100
California MEDICAID HA0030450

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