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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 14 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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