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Contact Information

EDNA M GONZALEZ
8865 W 400 N
#115
MICHIGAN CITY, IN46360-9222
 Phone: 219-872-7268
 Fax: 219-872-2224
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiology Practitioner Assistant

243U00000X
Indicates primary specialty

NPI Profile & details for EDNA M GONZALEZ · (Female)

NPI Number 1912290149
Status Active
Credentials
Entity Individual
Enumeration date 05/20/2011
Last updated 05/20/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers Not Available
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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