Gonzales, Jose Luis

Gonzales, Jose Luis is an individual health care provider with primary practice located at 12075 Corporate Pkwy Ste 120 , Mequon WI 53092-2664. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, which is considered as his primary health care specialty. Gonzales, Jose Luis can be contacted via phone (262) 643-4418.

Contact Information

Primary practice address
12075 Corporate Pkwy Ste 120 Mequon WI 53092-2664
Phone: (262) 643-4418
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X

Profile Details

NPI number 1235607011
LBN Legal business name Gonzales, Jose Luis
Credentials CO,BOCO
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2018
Last updated Nov 9th, 2018 - 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.

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