Gonzales, Ian Jerome

Gonzales, Ian Jerome is an sole proprietor health care provider with primary practice located at 161 Knickerbocker Rd Apt D , Englewood NJ 07631-2156. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic, Technologists, Technicians & Other Technical Service Providers / EEG. Technologists, Technicians & Other Technical Service Providers / EEG is his primary health care specialty. Gonzales, Ian Jerome can be contacted via phone (973) 752-9580.

Contact Information

Primary practice address
161 Knickerbocker Rd Apt D Englewood NJ 07631-2156
Phone: (973) 752-9580
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic 246ZE0600X 4926 New Jersey
Technologists, Technicians & Other Technical Service Providers / EEG 246ZE0500X 456 New Jersey

Profile Details

NPI number 1992402119
LBN Legal business name Gonzales, Ian Jerome
Credentials R. EEG T, CLTM, CNIM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2023
Last updated Feb 8th, 2023 - about 3 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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