Gosvener, Haley Dawn
Gosvener, Haley Dawn is an sole proprietor health care provider with primary practice located at 1234 Empire St Ste 2200 , Fairfield CA 94533-5711. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Gosvener, Haley Dawn can be contacted via phone (707) 648-8121.Contact Information
Primary practice address
1234 Empire St Ste 2200
Fairfield CA 94533-5711
Phone: (707) 648-8121
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Vocational Nurse | 164X00000X | 692481 | California |
Profile Details
| NPI number | 1245728567 |
|---|---|
| LBN Legal business name | Gosvener, Haley Dawn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 23rd, 2018 |
| Last updated | Apr 23rd, 2018 - about 8 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 | 1245728567 | NPPES |
| California | MEDICAID | 164X00000X |
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