Javier, Domingo Gonzales

Javier, Domingo Gonzales is an individual health care provider with primary practice located at 1701 Jefferson St , Bluefield WV 24701-1701. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Javier, Domingo Gonzales can be contacted via phone (304) 325-5755.

Contact Information

Primary practice address
1701 Jefferson St Bluefield WV 24701-1701
Phone: (304) 325-5755
Fax: (304) 323-1639
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 10588 West Virginia

Profile Details

NPI number 1699872135
LBN Legal business name Javier, Domingo Gonzales
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2006
Last updated Jul 8th, 2007 - about 19 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 1699872135 NPPES
West Virginia Other 1022384 WORKERS COMP
West Virginia Other 851945 WORKERS COMP
West Virginia Other 062480 WORKERS COMP
West Virginia Other 103541 WORKERS COMP
West Virginia Other 7350431 WORKERS COMP
West Virginia Other 0472131 WORKERS COMP
West Virginia Other V000267 WORKERS COMP
West Virginia MEDICAID 0127512000 WORKERS COMP
West Virginia Other 4454937 WORKERS COMP

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