Gonzalez, Juan

Gonzalez, Juan is an individual health care provider with primary practice located at 1701 Lacey St Dept Pathology, Cape Girardeau MO 63701-5230. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Gonzalez, Juan can be contacted via phone (314) 362-5641.

Contact Information

Primary practice address
1701 Lacey St Dept Pathology Cape Girardeau MO 63701-5230
Phone: (314) 362-5641
Fax: (314) 362-0369
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X R2F61 Missouri

Profile Details

NPI number 1801826425
LBN Legal business name Gonzalez, Juan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Nov 15th, 2021 - about 3 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 1801826425 NPPES
Missouri MEDICAID 202688800

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