Gozdowski, Donald R

Gozdowski, Donald R is an sole proprietor health care provider with primary practice located at 4747 Monroe St , Toledo OH 43623-4307. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Gozdowski, Donald R can be contacted via phone (419) 740-5709.

Contact Information

Primary practice address
4747 Monroe St Toledo OH 43623-4307
Phone: (419) 740-5709
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.176421 Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Counseling 103TC1900X 172587 Ohio

Profile Details

NPI number 1396379392
LBN Legal business name Gozdowski, Donald R
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2020
Last updated Sep 15th, 2021 - about 5 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 1396379392 NPPES
Ohio MEDICAID 0455766

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