Gonzalez, Miguel
Gonzalez, Miguel is an individual health care provider with primary practice located at 718 Teaneck Rd , Teaneck NJ 07666-4245. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Gonzalez, Miguel can be contacted via phone (201) 833-3000.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 26NJ00962200 | New Jersey |
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 26NJ00962200 | New Jersey |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 26NJ00962200 | New Jersey |
Profile Details
NPI number | 1558918979 |
---|---|
LBN Legal business name | Gonzalez, Miguel |
Credentials | NURSE PRACTITIONER |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 20th, 2019 |
Last updated | Aug 25th, 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 | 1558918979 | NPPES |
New Jersey | MEDICAID | 0702714 | |
New Jersey | Other | 1790396281 |
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