Gonzalez, Luis Fernando
Gonzalez, Luis Fernando is an individual health care provider with primary practice located at 1800 Orleans St # 6115E , Baltimore MD 21287-0010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Gonzalez, Luis Fernando can be contacted via phone (410) 955-2438.Contact Information
Primary practice address
1800 Orleans St # 6115E
Baltimore MD 21287-0010
Phone: (410) 955-2438
Fax: (443) 287-0339
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | MD437666 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 25MA08778100 | New Jersey |
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | D91181 | Maryland |
Profile Details
| NPI number | 1053591024 |
|---|---|
| LBN Legal business name | Gonzalez, Luis Fernando |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2007 |
| Last updated | Jul 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053591024 | NPPES |
| Pennsylvania | MEDICAID | 102366468 | |
| Pennsylvania | MEDICAID | 0205613 |
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