Gonzalez, Michael Angel

Gonzalez, Michael Angel is an individual health care provider with primary practice located at 1 Guthrie Sq , Sayre PA 18840-1699. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Gonzalez, Michael Angel can be contacted via phone (570) 888-5858.

Contact Information

Primary practice address
1 Guthrie Sq Sayre PA 18840-1699
Phone: (570) 888-5858
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0001011 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0001011 New York

Profile Details

NPI number 1508851023
LBN Legal business name Gonzalez, Michael Angel
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Mar 14th, 2021 - about 4 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 1508851023 NPPES
New York MEDICAID 01270180

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