Gonzalez, Manuel F

Gonzalez, Manuel F is an individual health care provider with primary practice located at 115 N Sumter St Suite 305, Sumter SC 29150-4972. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Hematology & Oncology. Other Service Providers / Specialist is his primary health care specialty. Gonzalez, Manuel F can be contacted via phone (803) 934-8348.

Contact Information

Primary practice address
115 N Sumter St Suite 305 Sumter SC 29150-4972
Phone: (803) 934-8348
Fax: (803) 934-8349
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 9747 South Carolina
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 9747 South Carolina

Profile Details

NPI number 1073596813
LBN Legal business name Gonzalez, Manuel F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2005
Last updated May 27th, 2014 - about 11 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 1073596813 NPPES
South Carolina MEDICAID GP4045
South Carolina MEDICAID GP3381

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