Gonzalez, Jorge Eduardo
Gonzalez, Jorge Eduardo is an individual health care provider with primary practice located at 600 Moye Blvd , Greenville NC 27834-4300. He recently has 4 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Assistive Technology Practitioner, Speech, Language and Hearing Service Providers / Assistive Technology Supplier. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. Gonzalez, Jorge Eduardo can be contacted via phone (252) 744-6104.Contact Information
Primary practice address
600 Moye Blvd
Greenville NC 27834-4300
Phone: (252) 744-6104
Fax: (252) 744-6148
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | AT005967 | Pennsylvania |
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | AT005967 | Pennsylvania |
| Speech, Language and Hearing Service Providers / Assistive Technology Practitioner | 231HA2400X | AT005967 | Pennsylvania |
| Speech, Language and Hearing Service Providers / Assistive Technology Supplier | 231HA2500X | AT005967 | Pennsylvania |
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 13818 | North Carolina |
Profile Details
| NPI number | 1679656821 |
|---|---|
| LBN Legal business name | Gonzalez, Jorge Eduardo |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Feb 12th, 2024 - about 10 months 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 | 1679656821 | NPPES |
| Virginia | MEDICAID | 9112600 |
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