Chad M Gonzales Md Pc

LBN: Chad M Gonzales Md Pc
Chad M Gonzales Md Pc is an health care organization with primary practice located at 4403 Harrison Blvd Suite 2855, Ogden UT 84403-3271. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Chad M Gonzales Md Pc can be contacted via phone (801) 387-2550, or through Gonzales, Chad M via phone (801) 387-2550.

Contact Information

Primary practice address
4403 Harrison Blvd Suite 2855 Ogden UT 84403-3271
Phone: (801) 387-2550
Fax: (801) 387-2555
Website:
Map and Directions
Authorized official contact:
Name: Gonzales, Chad M Doctor of Medicine (MD)
Phone: (801) 387-2550

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 4825699-1205 Utah

Profile Details

NPI number 1235261025
LBN Legal business name Chad M Gonzales Md Pc
DBA Doing business as
Authorized official Gonzales, Chad M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2007
Last updated Oct 30th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235261025 NPPES
Utah Other DD5804 RAILROAD MEDICARE

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