Gonzales, Gene G

Gonzales, Gene G is an individual health care provider with primary practice located at 3301 W. 144Th Ave. Ste. 200, Broomfield CO 80023. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gonzales, Gene G can be contacted via phone (303) 659-4248.

Contact Information

Primary practice address
3301 W. 144Th Ave. Ste. 200 Broomfield CO 80023
Phone: (303) 659-4248
Fax: (303) 659-4283
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 33544 Colorado

Profile Details

NPI number 1598836082
LBN Legal business name Gonzales, Gene G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Dec 30th, 2008 - about 17 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 1598836082 NPPES
Colorado MEDICAID 01335447

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