Gonzalez, Luis F

Gonzalez, Luis F is an individual health care provider with primary practice located at 133 Fairfield St , St Albans VT 05478-1726. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Gonzalez, Luis F can be contacted via phone (802) 524-1058.

Contact Information

Primary practice address
133 Fairfield St St Albans VT 05478-1726
Phone: (802) 524-1058
Fax: (802) 524-1289
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 042-0009728 Vermont

Profile Details

NPI number 1043266869
LBN Legal business name Gonzalez, Luis F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated May 17th, 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 1043266869 NPPES
Vermont MEDICAID 0VN1883
Vermont Other 300123221

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