Gonzalez, Jaime

Gonzalez, Jaime is an individual health care provider with primary practice located at 10110 Dixie Hwy , Louisville KY 40272-3948. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Gonzalez, Jaime can be contacted via phone (502) 937-7995.

Contact Information

Primary practice address
10110 Dixie Hwy Louisville KY 40272-3948
Fax: (503) 937-5560
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 5135 Kentucky

Profile Details

NPI number 1669443859
LBN Legal business name Gonzalez, Jaime
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Nov 4th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669443859 NPPES
Kentucky MEDICAID 7100072710
Kentucky Other K030550

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