Gonzalez, Henry Antonio

Gonzalez, Henry Antonio is an individual health care provider with primary practice located at 603 D St , San Rafael CA 94901-3719. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Gonzalez, Henry Antonio can be contacted via phone (415) 454-9444.

Contact Information

Primary practice address
603 D St San Rafael CA 94901-3719
Phone: (415) 454-9444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 12938 Indiana

Profile Details

NPI number 1811278583
LBN Legal business name Gonzalez, Henry Antonio
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2011
Last updated Sep 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811278583 NPPES
California Other 101YA041X SUBSTANCE ABUSE

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