Gonzales, Patrick Jordan

Gonzales, Patrick Jordan is an sole proprietor health care provider with primary practice located at 8759 Celebration St , Chino CA 91708-8876. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Gonzales, Patrick Jordan can be contacted via phone (909) 217-8166.

Contact Information

Primary practice address
8759 Celebration St Chino CA 91708-8876
Phone: (909) 217-8166
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95015671 California

Profile Details

NPI number 1639775166
LBN Legal business name Gonzales, Patrick Jordan
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2020
Last updated Dec 9th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639775166 NPPES
California Other 95015671 NURSE PRACTITIONER FURNISHING NUMNBER

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