Gonzales, Jose Mauricio
Gonzales, Jose Mauricio is an individual health care provider with primary practice located at 2509 Maplewood Dr. , Sulphur LA 70663. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gonzales, Jose Mauricio can be contacted via phone (337) 625-0341.Contact Information
Primary practice address
2509 Maplewood Dr.
Sulphur LA 70663
Phone: (337) 625-0341
Fax: (337) 625-0347
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 22265 | Louisiana |
Profile Details
| NPI number | 1144221615 |
|---|---|
| LBN Legal business name | Gonzales, Jose Mauricio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | May 26th, 2020 - about 5 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 | 1144221615 | NPPES |
| Louisiana | MEDICAID | 1682969 |
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