Tan-Gonzales, Desiree

Tan-Gonzales, Desiree is an individual health care provider with primary practice located at 713 Volvo Pkwy Suite 100, Chesapeake VA 23320-1614. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Tan-Gonzales, Desiree can be contacted via phone (757) 548-0076.

Contact Information

Primary practice address
713 Volvo Pkwy Suite 100 Chesapeake VA 23320-1614
Phone: (757) 548-0076
Fax: (757) 548-1652
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101238193 Virginia

Profile Details

NPI number 1407822109
LBN Legal business name Tan-Gonzales, Desiree
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Apr 12th, 2010 - about 16 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 1407822109 NPPES
Virginia Other 541595397 CIGNA
Virginia MEDICAID 010207011 CIGNA
Virginia Other 7172705 CIGNA
Virginia Other 10002079 CIGNA
Virginia Other 186943 CIGNA
Virginia Other 541595397 CIGNA

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