Gonzalez, Jorge Antonio
Gonzalez, Jorge Antonio is an sole proprietor health care provider with primary practice located at 5010 E 68Th St Ste 102 , Tulsa OK 74136-3341. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Gonzalez, Jorge Antonio can be contacted via phone (918) 236-5881.Contact Information
Primary practice address
5010 E 68Th St Ste 102
Tulsa OK 74136-3341
Phone: (918) 236-5881
Fax: (918) 236-5885
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 19558 | Oklahoma |
Profile Details
| NPI number | 1073567392 |
|---|---|
| LBN Legal business name | Gonzalez, Jorge Antonio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 20th, 2006 |
| Last updated | Jun 11th, 2019 - about 6 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 | 1073567392 | NPPES |
| Oklahoma | MEDICAID | 100020260C |
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