Wallace, Sonya Gohel

Wallace, Sonya Gohel is an individual health care provider with primary practice located at 16 Ritter St , San Rafael CA 94901-3323. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wallace, Sonya Gohel can be contacted via phone (415) 457-8182.

Contact Information

Primary practice address
16 Ritter St San Rafael CA 94901-3323
Phone: (415) 457-8182
Fax: (415) 457-3490
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 18012 California

Profile Details

NPI number 1861652018
LBN Legal business name Wallace, Sonya Gohel
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2008
Last updated Feb 9th, 2009 - about 15 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 1861652018 NPPES
California Other 672257 RN LICENSE
California Other F0208160 RN LICENSE
California Other 18012 RN LICENSE

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