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JOSEPH GONZALEZ, LAT, ATC – NPI #1235591090
Specialist/Technologist, Other

NPI Profile for JOSEPH GONZALEZ in FORT WAYNE, IN.

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Contact Information

JOSEPH GONZALEZ, LAT, ATC
11130 PARKVIEW CIRCLE DR
FORT WAYNE, IN  46845-1735
 Phone: 260-443-4100
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Specialist/Technologist, Other

 246Z00000X
Indicates primary specialty

NPI Profile & details for JOSEPH GONZALEZ · (Male)

NPI Number 1235591090
Status Active
Credentials LAT, ATC
Entity Individual
Enumeration date 03/22/2016
Last updated 03/22/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 36002065A
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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