Gozner, Gerald

Gozner, Gerald is an individual health care provider with primary practice located at 2845 Greenbrier Rd , Green Bay WI 54311. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Gozner, Gerald can be contacted via phone (920) 927-7380.

Contact Information

Primary practice address
2845 Greenbrier Rd Green Bay WI 54311
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1116 Wisconsin

Profile Details

NPI number 1134228554
LBN Legal business name Gozner, Gerald
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Jun 26th, 2018 - about 6 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 1134228554 NPPES
Wisconsin MEDICAID 42984400

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