Gonzalez, Luis Gustavo
Gonzalez, Luis Gustavo is an sole proprietor health care provider with primary practice located at 618 S Main St Anesthesia Dept, Reidsville NC 27320-5020. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Gonzalez, Luis Gustavo can be contacted via phone (336) 951-1010.Contact Information
Primary practice address
618 S Main St Anesthesia Dept
Reidsville NC 27320-5020
Phone: (336) 951-1010
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 000031135 | North Carolina |
Profile Details
| NPI number | 1659341998 |
|---|---|
| LBN Legal business name | Gonzalez, Luis Gustavo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Jun 4th, 2008 - about 16 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 | 1659341998 | NPPES |
| North Carolina | MEDICAID | 8926472 |
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