Gonzalez, Guillermo
Gonzalez, Guillermo is an sole proprietor health care provider with primary practice located at 196 Union St , New Bedford MA 02740-5942. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Gonzalez, Guillermo can be contacted via phone (508) 990-4963.Contact Information
Primary practice address
196 Union St
New Bedford MA 02740-5942
Phone: (508) 990-4963
Fax: (508) 990-4964
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 59703 | Massachusetts |
Profile Details
| NPI number | 1316948367 |
|---|---|
| LBN Legal business name | Gonzalez, Guillermo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Oct 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316948367 | NPPES |
| Massachusetts | Other | 1003490 | BEACON |
| Massachusetts | MEDICAID | 110055741A | BEACON |
| Massachusetts | MEDICAID | 3137988 | BEACON |
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