Gonzales, Michael F
Gonzales, Michael F is an individual health care provider with primary practice located at 1720 University Dr S , Fargo ND 58103-4940. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Gonzales, Michael F can be contacted via phone (701) 280-4540.Contact Information
Primary practice address
1720 University Dr S
Fargo ND 58103-4940
Phone: (701) 280-4540
Fax: (701) 280-4492
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 9573 | North Dakota |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 9573 | North Dakota |
Profile Details
| NPI number | 1538180765 |
|---|---|
| LBN Legal business name | Gonzales, Michael F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2006 |
| Last updated | Jan 19th, 2012 - about 14 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 | 1538180765 | NPPES |
| North Dakota | MEDICAID | 12928 |
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