Gonzales-Vigilar, Maria Carmen V

Gonzales-Vigilar, Maria Carmen V is an sole proprietor health care provider with primary practice located at 44031 Pipeline Plaza Ste 205, Ashburn VA 20147. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Gonzales-Vigilar, Maria Carmen V can be contacted via phone (571) 291-2449.

Contact Information

Primary practice address
44031 Pipeline Plaza Ste 205 Ashburn VA 20147
Fax: (571) 291-3681
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 4301077025 Michigan
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4301077025 Michigan
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 0101240546 Virginia

Profile Details

NPI number 1649217571
LBN Legal business name Gonzales-Vigilar, Maria Carmen V
Credentials MD, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2006
Last updated Aug 6th, 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 1649217571 NPPES
Virginia MEDICAID 540682401

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