Gonzales, Nicole R

Gonzales, Nicole R is an individual health care provider with primary practice located at 12401 E 17Th Ave , Aurora CO 80045-2548. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Vascular Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Gonzales, Nicole R can be contacted via phone (720) 848-0000.

Contact Information

Primary practice address
12401 E 17Th Ave Aurora CO 80045-2548
Phone: (720) 848-0000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X M0736 Texas
Allopathic & Osteopathic Physicians / Vascular Neurology 2084V0102X M0736 Texas
Allopathic & Osteopathic Physicians / Vascular Neurology 2084V0102X DR.0065113 Colorado
Allopathic & Osteopathic Physicians / Neurology 2084N0400X DR.0065113 Colorado

Profile Details

NPI number 1467481093
LBN Legal business name Gonzales, Nicole R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Dec 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467481093 NPPES
Texas Other 8R6147 BCBSTX
Texas MEDICAID 151830001 BCBSTX

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