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Contact Information

ANTON R GONZALES
2295 CHENE, DETROIT, MI 48207
DETROIT, MI48207
 Phone: 313-923-5816
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for ANTON R GONZALES · (Male)

NPI # 1245848506
Status Active
Credentials
Entity Individual
Enumeration date 07/22/2020
Last updated 07/22/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 5502004845
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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