Zavaleta, Jose Gonzalo

Zavaleta, Jose Gonzalo is an individual health care provider with primary practice located at 1804 W Medalist Rd , Pineville LA 71360-2619. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Zavaleta, Jose Gonzalo can be contacted via phone (318) 641-7800.

Contact Information

Primary practice address
1804 W Medalist Rd Pineville LA 71360-2619
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 12742R Louisiana

Profile Details

NPI number 1760566376
LBN Legal business name Zavaleta, Jose Gonzalo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Jul 29th, 2008 - about 16 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 1760566376 NPPES
Louisiana MEDICAID 1496065

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