Gonzalez Mejia, Johanna Jacqueline
Gonzalez Mejia, Johanna Jacqueline is an sole proprietor health care provider with primary practice located at 433 North Broad Street , Elizabeth NJ 07208-3398. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Gonzalez Mejia, Johanna Jacqueline can be contacted via phone (908) 436-1002.Contact Information
Primary practice address
433 North Broad Street
Elizabeth NJ 07208-3398
Phone: (908) 436-1002
Fax: (908) 436-1109
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 25MA06899700 | New Jersey |
Profile Details
NPI number | 1669565396 |
---|---|
LBN Legal business name | Gonzalez Mejia, Johanna Jacqueline |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 2nd, 2006 |
Last updated | Jul 9th, 2007 - about 18 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 | 1669565396 | NPPES |
New Jersey | Other | 202092816 | TAX ID, |
New Jersey | Other | AH0236165301 | TAX ID, |
New Jersey | Other | 60013229 | TAX ID, |
New Jersey | Other | 01000296602 | TAX ID, |
New Jersey | Other | 97222 | TAX ID, |
New Jersey | MEDICAID | 8565708 | TAX ID, |
New Jersey | Other | 31002 | TAX ID, |
New Jersey | Other | 7752202 | TAX ID, |
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