Gottschalk, William Jordan

Gottschalk, William Jordan is an individual health care provider with primary practice located at 1135 Lake Ave , Clermont FL 34711-3037. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gottschalk, William Jordan can be contacted via phone (352) 394-4035.

Contact Information

Primary practice address
1135 Lake Ave Clermont FL 34711-3037
Phone: (352) 394-4035
Fax: (352) 394-8585
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS15396 Florida

Profile Details

NPI number 1306231873
LBN Legal business name Gottschalk, William Jordan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2015
Last updated Oct 1st, 2020 - about 6 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 1306231873 NPPES
Florida MEDICAID 025120200

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