Gonzalez, Jay M
Gonzalez, Jay M is an individual health care provider with primary practice located at 2700 W 9Th Ave Ste 230, Oshkosh WI 54904-7247. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Gonzalez, Jay M can be contacted via phone (920) 223-0220.Contact Information
Primary practice address
2700 W 9Th Ave Ste 230
Oshkosh WI 54904-7247
Phone: (920) 223-0220
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 46930 | Wisconsin |
Profile Details
| NPI number | 1396739488 |
|---|---|
| LBN Legal business name | Gonzalez, Jay M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2005 |
| Last updated | Sep 2nd, 2008 - about 18 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 | 1396739488 | NPPES |
| Wisconsin | MEDICAID | 43514100 |
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