Gonzales, Reynaldo Novak

Gonzales, Reynaldo Novak is an individual health care provider with primary practice located at 350 W Columbia St Suite 420, Evansville IN 47710-1782. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Gonzales, Reynaldo Novak can be contacted via phone (812) 422-3254.

Contact Information

Primary practice address
350 W Columbia St Suite 420 Evansville IN 47710-1782
Phone: (812) 422-3254
Fax: (812) 426-6388
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01054764A Indiana

Profile Details

NPI number 1568459626
LBN Legal business name Gonzales, Reynaldo Novak
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Feb 29th, 2024 - about 7 months 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 1568459626 NPPES
Kentucky MEDICAID 64038029
Kentucky MEDICAID 200344150

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