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
Phone: (571) 291-2449
Fax: (571) 291-3681
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649217571 | NPPES |
| Virginia | MEDICAID | 540682401 |
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