Vallejo, Victoria Catherine
Vallejo, Victoria Catherine is an individual health care provider with primary practice located at 11 Meridian Rd , Eatontown NJ 07724-2242. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Vallejo, Victoria Catherine can be contacted via phone (732) 663-0300.Contact Information
Primary practice address
11 Meridian Rd
Eatontown NJ 07724-2242
Phone: (732) 663-0300
Fax: (732) 663-0301
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 015871 | New York |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 25MP00464400 | New Jersey |
Profile Details
NPI number | 1851648687 |
---|---|
LBN Legal business name | Vallejo, Victoria Catherine |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 10th, 2012 |
Last updated | Apr 19th, 2018 - about 6 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 | 1851648687 | NPPES |
New York | Other | 015871 | STATE LICENSE |
New York | Other | 25MP00464400 | STATE LICENSE |
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