Gonzales, Martin
Gonzales, Martin is an sole proprietor health care provider with primary practice located at 3924 W Maricopa St , Phoenix AZ 85009-5410. He recently has only one registered license in Respite Care Facility / Respite Care, Mental Illness, Child, which is considered as his primary health care specialty. Gonzales, Martin can be contacted via phone (602) 353-9352.Contact Information
Primary practice address
3924 W Maricopa St
Phoenix AZ 85009-5410
Phone: (602) 353-9352
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X | 8896 | Arizona |
Profile Details
| NPI number | 1477627495 |
|---|---|
| LBN Legal business name | Gonzales, Martin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2006 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477627495 | NPPES |
| Arizona | Other | 910035 | AHCCCS ID NUMBER |
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