Gonzalez, Jacob Benjamin
Gonzalez, Jacob Benjamin is an sole proprietor health care provider with primary practice located at 133 Saguaro Dr , Lake Havasu City AZ 86403-6657. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Gonzalez, Jacob Benjamin can be contacted via phone (928) 846-7845.Contact Information
Primary practice address
133 Saguaro Dr
Lake Havasu City AZ 86403-6657
Phone: (928) 846-7845
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MT-13311 | Arizona |
Profile Details
NPI number | 1417247172 |
---|---|
LBN Legal business name | Gonzalez, Jacob Benjamin |
Credentials | L.M.T. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 15th, 2011 |
Last updated | Apr 15th, 2011 - about 13 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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