Gonzalez, Jaime Eduardo

Gonzalez, Jaime Eduardo is an individual health care provider with primary practice located at 1400 E Boulder St Suite 700, Colorado Springs CO 80909-5533. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Gonzalez, Jaime Eduardo can be contacted via phone (719) 635-7172.

Contact Information

Primary practice address
1400 E Boulder St Suite 700 Colorado Springs CO 80909-5533
Phone: (719) 635-7172
Fax: (719) 444-3759
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 242635 New York
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X DR.0052595 Colorado

Profile Details

NPI number 1245370204
LBN Legal business name Gonzalez, Jaime Eduardo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated May 5th, 2016 - about 8 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 1245370204 NPPES
Colorado MEDICAID 98785036

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