Gonzales, Antonio

Gonzales, Antonio is an individual health care provider with primary practice located at 3269 S Main St Ste 230 , South Salt Lake UT 84115-3769. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Gonzales, Antonio can be contacted via phone (801) 935-4447.

Contact Information

Primary practice address
3269 S Main St Ste 230 South Salt Lake UT 84115-3769
Phone: (801) 935-4447
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Peer Specialist 175T00000X 2027 Utah

Profile Details

NPI number 1194346205
LBN Legal business name Gonzales, Antonio
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2020
Last updated Apr 25th, 2023 - about last year

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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