Gonzales, Chad Michael

Gonzales, Chad Michael is an sole proprietor health care provider with primary practice located at 4403 Harrison Blvd Suite 2855, Ogden UT 84403-3323. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Gonzales, Chad Michael can be contacted via phone (801) 387-2550.

Contact Information

Primary practice address
4403 Harrison Blvd Suite 2855 Ogden UT 84403-3323
Phone: (801) 387-2550
Fax: (801) 387-2564
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 4825699-1205 Utah

Profile Details

NPI number 1669447801
LBN Legal business name Gonzales, Chad Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2006
Last updated Feb 19th, 2019 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1669447801 NPPES
Utah Other P00237064 RAILROAD MEDICARE

Popular Providers