Gonzales, Charles

Gonzales, Charles is an individual health care provider with primary practice located at 12380 De Paul Dr , Bridgeton MO 63044-2511. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Gonzales, Charles can be contacted via phone (877) 749-7428.

Contact Information

Primary practice address
12380 De Paul Dr Bridgeton MO 63044-2511
Phone: (877) 749-7428
Fax: (512) 628-3314
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 2018015039 Missouri

Profile Details

NPI number 1508276692
LBN Legal business name Gonzales, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2014
Last updated Oct 13th, 2020 - about 5 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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