Gonzalez, Sergio

Gonzalez, Sergio is an individual health care provider with primary practice located at 1011 14Th Ave Nw , Ardmore OK 73401-1828. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Gonzalez, Sergio can be contacted via phone (580) 226-1251.

Contact Information

Primary practice address
1011 14Th Ave Nw Ardmore OK 73401-1828
Phone: (580) 226-1251
Fax: (580) 226-1254
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R0075019 Oklahoma

Profile Details

NPI number 1487985016
LBN Legal business name Gonzalez, Sergio
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2010
Last updated Jan 21st, 2010 - about 16 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 1487985016 NPPES
Oklahoma Other R0075019 CRNA LICENSE

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