Individual
MRS. JENNIFER W GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
725 UNIVERSITY BLVD, BEAVERCREEK, OH 45324-2640
(937) 245-7200
(937) 245-7999
Mailing address
725 UNIVERSITY BLVD, BEAVERCREEK, OH 45324-2640
(937) 245-7200
(937) 245-7999
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.007105RX
OH
363A00000X
Physician Assistant
PA9112057
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0462499
—
OH
01
—
0EJPX
BLUE CROSS BLUE SHIELD
FL
05
—
104159800
—
FL
Enumeration date
10/14/2007
Last updated
09/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us