Gonzalez, Christian

Gonzalez, Christian is an individual health care provider with primary practice located at 293 Passaic St , Passaic NJ 07055-5803. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Gonzalez, Christian can be contacted via phone (973) 916-0002.

Contact Information

Primary practice address
293 Passaic St Passaic NJ 07055-5803
Phone: (973) 916-0002
Fax: (973) 916-0027
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1588339345
LBN Legal business name Gonzalez, Christian
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2021
Last updated Aug 13th, 2021 - about 3 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 1588339345 NPPES
New Jersey Other 25MP00629000 STATE LICENSE

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