Gonzalez, Samuel
Gonzalez, Samuel is an individual health care provider with primary practice located at 34101 Farenholt Ave , San Diego CA 92134-7000. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Gonzalez, Samuel can be contacted via phone (915) 330-7612.Contact Information
Primary practice address
34101 Farenholt Ave
San Diego CA 92134-7000
Phone: (915) 330-7612
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1083492391 |
|---|---|
| LBN Legal business name | Gonzalez, Samuel |
| Credentials | IDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 18th, 2023 |
| Last updated | Sep 18th, 2023 - about last year |
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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