Gonzalez, Alfonso
Gonzalez, Alfonso is an individual health care provider with primary practice located at 3600 Forest Dr Ste 400 , Columbia SC 29204-4057. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as his primary health care specialty. Gonzalez, Alfonso can be contacted via phone (803) 779-7316.Contact Information
Primary practice address
3600 Forest Dr Ste 400
Columbia SC 29204-4057
Phone: (803) 779-7316
Fax: (803) 343-2538
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 17121 | South Carolina |
Profile Details
| NPI number | 1912971367 |
|---|---|
| LBN Legal business name | Gonzalez, Alfonso |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | May 29th, 2019 - about 6 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 | 1912971367 | NPPES |
| South Carolina | Other | 070017292 | RAILROAD MEDICARE |
| South Carolina | MEDICAID | 171217 | RAILROAD MEDICARE |
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