Gonzalez, Javier David
Gonzalez, Javier David is an individual health care provider with primary practice located at 2880 N Tenaya Way Ste 340 , Las Vegas NV 89128-0642. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is his primary health care specialty. Gonzalez, Javier David can be contacted via phone (702) 255-3547.Contact Information
Primary practice address
2880 N Tenaya Way Ste 340
Las Vegas NV 89128-0642
Phone: (702) 255-3547
Fax: (702) 307-2204
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery | 207VF0040X | 23701 | Nevada |
Profile Details
| NPI number | 1417310780 |
|---|---|
| LBN Legal business name | Gonzalez, Javier David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2016 |
| Last updated | Aug 30th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417310780 | NPPES |
| Nevada | Other | 23701 | STATE LICENSE |
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