Gonzalez, Enrique

Gonzalez, Enrique is an individual health care provider with primary practice located at 3217 Mabel St , Shreveport LA 71103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Gonzalez, Enrique can be contacted via phone (318) 631-9121.

Contact Information

Primary practice address
3217 Mabel St Shreveport LA 71103
Phone: (318) 631-9121
Fax: (318) 631-9126
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 03991R Louisiana

Profile Details

NPI number 1538187752
LBN Legal business name Gonzalez, Enrique
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jun 22nd, 2018 - about 8 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 1538187752 NPPES
Louisiana MEDICAID 1436984

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