1982349544 NPI number — JOSELINE GONZALEZ LOSSING BS, RDN, CLC

Table of content: JOSELINE GONZALEZ LOSSING BS, RDN, CLC (NPI 1982349544)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982349544 NPI number — JOSELINE GONZALEZ LOSSING BS, RDN, CLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LOSSING
Provider First Name:
JOSELINE
Provider Middle Name:
GONZALEZ
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
BS, RDN, CLC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GONZALEZ-RIVAS
Provider Other First Name:
JOSELINE
Provider Other Middle Name:
NATALY
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
BS, RDN
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1982349544
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
CMR 473 BOX 2522
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
APO
Provider Business Mailing Address State Name:
AE
Provider Business Mailing Address Postal Code:
09606-0026
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-474-4687
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
US ARMY MEDDAC BAVARIA
Provider Second Line Business Practice Location Address:
UNIT 28037
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AE
Provider Business Practice Location Address Postal Code:
09112-8037
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
314-590-3904
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/28/2022

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 174N00000X , with the licence number:  336934 ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 133V00000X , with the licence number: 86113641 ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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