Alvira, Providence M

Alvira, Providence M is an individual health care provider with primary practice located at 6367 Alvarado Ct Ste 101, San Diego CA 92120-4904. 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. Alvira, Providence M can be contacted via phone (619) 583-7002.

Contact Information

Primary practice address
6367 Alvarado Ct Ste 101 San Diego CA 92120-4904
Phone: (619) 583-7002
Fax: (619) 583-9404
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 1745 California

Profile Details

NPI number 1669645776
LBN Legal business name Alvira, Providence M
Credentials AU.D CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2008
Last updated Jun 30th, 2015 - about 11 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 1669645776 NPPES
California MEDICAID 1669645776

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