Charles T Gonsowski Md Pc

LBN: Charles T Gonsowski Md Pc
Charles T Gonsowski Md Pc is an health care organization with primary practice located at 2865 Daggett Ave , Klamath Falls OR 97601-1106. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Charles T Gonsowski Md Pc can be contacted via phone (541) 882-6311, or through Gonsowski, Charles T via phone (541) 882-1540.

Contact Information

Primary practice address
2865 Daggett Ave Klamath Falls OR 97601-1106
Phone: (541) 882-6311
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gonsowski, Charles T Doctor of Medicine (MD)
Phone: (541) 882-1540

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD21155 Oregon

Profile Details

NPI number 1063422541
LBN Legal business name Charles T Gonsowski Md Pc
DBA Doing business as
Authorized official Gonsowski, Charles T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1063422541 NPPES
Oregon MEDICAID 151265

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