Gonzales, Luisito C.

Gonzales, Luisito C. is an individual health care provider with primary practice located at 303 S Nappanee St Suite A, Elkhart IN 46514-2066. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Gonzales, Luisito C. can be contacted via phone (574) 296-3338.

Contact Information

Primary practice address
303 S Nappanee St Suite A Elkhart IN 46514-2066
Phone: (574) 296-3338
Fax: (574) 296-3332
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01046919A Indiana

Profile Details

NPI number 1164425997
LBN Legal business name Gonzales, Luisito C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Mar 16th, 2016 - about 10 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 1164425997 NPPES
Indiana MEDICAID 200138970
Indiana Other P01317343
Indiana Other 000000691249
Indiana MEDICAID 200148970
Indiana Other 000000851248

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