Gonzales, Thomas

Gonzales, Thomas is an sole proprietor health care provider with primary practice located at 14557 County Road M , Antonito CO 81120-9605. He recently has only one registered license in Other Service Providers / Home Modifications, which is considered as his primary health care specialty. Gonzales, Thomas can be contacted via phone (719) 588-3364.

Contact Information

Primary practice address
14557 County Road M Antonito CO 81120-9605
Phone: (719) 588-3364
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Home Modifications 171WH0202X

Profile Details

NPI number 1174054852
LBN Legal business name Gonzales, Thomas
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2017
Last updated Mar 23rd, 2017 - 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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