Gonzales, Chad Michael
Gonzales, Chad Michael is an sole proprietor health care provider with primary practice located at 4403 Harrison Blvd Suite 2855, Ogden UT 84403-3323. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Gonzales, Chad Michael can be contacted via phone (801) 387-2550.Contact Information
Primary practice address
4403 Harrison Blvd Suite 2855
Ogden UT 84403-3323
Phone: (801) 387-2550
Fax: (801) 387-2564
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 4825699-1205 | Utah |
Profile Details
| NPI number | 1669447801 |
|---|---|
| LBN Legal business name | Gonzales, Chad Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Feb 19th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669447801 | NPPES |
| Utah | Other | P00237064 | RAILROAD MEDICARE |
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