Gonzalez, Jose Adrian
Gonzalez, Jose Adrian is an individual health care provider with primary practice located at 2573 State Highway 522 , Questa NM 87556. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Gonzalez, Jose Adrian can be contacted via phone (575) 586-0315.Contact Information
Primary practice address
2573 State Highway 522
Questa NM 87556
Phone: (575) 586-0315
Fax: (575) 586-0234
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1366998577 |
|---|---|
| LBN Legal business name | Gonzalez, Jose Adrian |
| Credentials | B.L.A |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2016 |
| Last updated | Aug 28th, 2016 - about 9 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 | 1366998577 | NPPES |
| New Mexico | MEDICAID | 3162674115 |
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