Gonzalez Feldman, Edgard Ivan
Gonzalez Feldman, Edgard Ivan is an individual health care provider with primary practice located at 4465 Cordata Pkwy Ste B , Bellingham WA 98226-8037. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Gonzalez Feldman, Edgard Ivan can be contacted via phone (360) 752-5206.Contact Information
Primary practice address
4465 Cordata Pkwy Ste B
Bellingham WA 98226-8037
Phone: (360) 752-5206
Fax: (360) 752-5653
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD60601398 | Washington |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | N9863 | Texas |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 86429 | South Carolina |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | MD60601398 | Washington |
Profile Details
| NPI number | 1477525202 |
|---|---|
| LBN Legal business name | Gonzalez Feldman, Edgard Ivan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2006 |
| Last updated | Jul 19th, 2023 - about 3 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 | 1477525202 | NPPES |
| Texas | MEDICAID | 306610206 | |
| Texas | MEDICAID | 1477525202 | |
| Texas | MEDICAID | 864292 |
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