Gonzalez, David Manuel
Gonzalez, David Manuel is an individual health care provider with primary practice located at 110 Hospital Ln , Afton WY 83110-9409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Gonzalez, David Manuel can be contacted via phone (307) 885-5824.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | M-9795 | Idaho |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 26748 | Colorado |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 4237A | Wyoming |
Profile Details
| NPI number | 1043208218 |
|---|---|
| LBN Legal business name | Gonzalez, David Manuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Aug 25th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043208218 | NPPES |
| Wyoming | MEDICAID | 21403310 | |
| Wyoming | MEDICAID | 807643600 |
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