Gonzalez, Edna M

Gonzalez, Edna M is an individual health care provider with primary practice located at 8865 W 400 N #115, Michigan City IN 46360-9222. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiology Practitioner Assistant, which is considered as her primary health care specialty. Gonzalez, Edna M can be contacted via phone (219) 872-7268.

Contact Information

Primary practice address
8865 W 400 N #115 Michigan City IN 46360-9222
Phone: (219) 872-7268
Fax: (219) 872-2224
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiology Practitioner Assistant 243U00000X

Profile Details

NPI number 1912290149
LBN Legal business name Gonzalez, Edna M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2011
Last updated May 20th, 2011 - about 15 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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