Gonzalez, William L

Gonzalez, William L is an individual health care provider with primary practice located at 4000 Mitchellville Rd Suite B128, Bowie MD 20716-3104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gonzalez, William L can be contacted via phone (301) 464-1192.

Contact Information

Primary practice address
4000 Mitchellville Rd Suite B128 Bowie MD 20716-3104
Phone: (301) 464-1192
Fax: (301) 464-2864
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X D0016996 Maryland
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0101044148 Virginia
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD9847 District of Columbia

Profile Details

NPI number 1568575389
LBN Legal business name Gonzalez, William L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Oct 23rd, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568575389 NPPES
Maryland MEDICAID 030231700

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