Paez Gonzalez, Jose

Paez Gonzalez, Jose is an individual health care provider with primary practice located at 4444 W Bristol Rd Ste. 150, Flint MI 48507-3153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Paez Gonzalez, Jose can be contacted via phone (810) 230-9500.

Contact Information

Primary practice address
4444 W Bristol Rd Ste. 150 Flint MI 48507-3153
Fax: (810) 230-0169
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301068202 Michigan

Profile Details

NPI number 1497706410
LBN Legal business name Paez Gonzalez, Jose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Nov 12th, 2013 - about 11 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 1497706410 NPPES
Michigan MEDICAID 4374958

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