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Contact Information

JOSE A GONZALEZ, B.L.A
2573 STATE HIGHWAY 522
QUESTA, NM87556
 Phone: 575-586-0315
 Fax: 575-586-0234
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for JOSE A GONZALEZ · (Male)

NPI # 1366998577
Status Active
Credentials B.L.A
Entity Individual
Enumeration date 08/28/2016
Last updated 08/28/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • NM Medicaid 3162674115
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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