Gonzalez Feldman, Edgard Ivan

Gonzalez Feldman, Edgard Ivan is an individual health care provider with primary practice located at 4465 Cordata Pkwy Ste B , Bellingham WA 98226-8037. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Gonzalez Feldman, Edgard Ivan can be contacted via phone (360) 752-5206.

Contact Information

Primary practice address
4465 Cordata Pkwy Ste B Bellingham WA 98226-8037
Phone: (360) 752-5206
Fax: (360) 752-5653
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD60601398 Washington
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X N9863 Texas
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 86429 South Carolina
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X MD60601398 Washington

Profile Details

NPI number 1477525202
LBN Legal business name Gonzalez Feldman, Edgard Ivan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Jul 19th, 2023 - about last year

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 1477525202 NPPES
Texas MEDICAID 306610206
Texas MEDICAID 1477525202
Texas MEDICAID 864292

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