Gonzalez, Blanca Elena

Gonzalez, Blanca Elena is an individual health care provider with primary practice located at 9500 Euclid Ave # R-3 , Cleveland OH 44195-8000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, which is considered as her primary health care specialty. Gonzalez, Blanca Elena can be contacted via phone (216) 636-1077.

Contact Information

Primary practice address
9500 Euclid Ave # R-3 Cleveland OH 44195-8000
Phone: (216) 636-1077
Fax: (216) 636-3405
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 35-094048 Ohio

Profile Details

NPI number 1730105602
LBN Legal business name Gonzalez, Blanca Elena
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Nov 11th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730105602 NPPES
Pennsylvania MEDICAID 1025903660001
Pennsylvania MEDICAID 2998743
Pennsylvania MEDICAID 275594700

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