Gonzalez, Jaime
Gonzalez, Jaime is an individual health care provider with primary practice located at 10110 Dixie Hwy , Louisville KY 40272-3948. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Gonzalez, Jaime can be contacted via phone (502) 937-7995.Contact Information
Primary practice address
10110 Dixie Hwy
Louisville KY 40272-3948
Phone: (502) 937-7995
Fax: (503) 937-5560
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 5135 | Kentucky |
Profile Details
| NPI number | 1669443859 |
|---|---|
| LBN Legal business name | Gonzalez, Jaime |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Nov 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 | 1669443859 | NPPES |
| Kentucky | MEDICAID | 7100072710 | |
| Kentucky | Other | K030550 |
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