Latonick-Flores, Jill E
Latonick-Flores, Jill E is an individual health care provider with primary practice located at 120 David Wade Drive , Victoria TX 77902-2666. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Latonick-Flores, Jill E can be contacted via phone (361) 575-8217.Contact Information
Primary practice address
120 David Wade Drive
Victoria TX 77902-2666
Phone: (361) 575-8217
Fax: (512) 949-4920
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 11894 | Texas |
Profile Details
| NPI number | 1982821534 |
|---|---|
| LBN Legal business name | Latonick-Flores, Jill E |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Apr 21st, 2011 - about 13 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 | 1982821534 | NPPES |
| Texas | MEDICAID | 112748201 | |
| Texas | MEDICAID | 095604701 | |
| Texas | MEDICAID | 095604702 |
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