Individual
JACOB ALLEN GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PCT, CET, CPT, BLS
Contact information
Practice address
317 WEST AVE, #113197 SMB#82886, STAMFORD, CT 06911
(203) 635-3548
Mailing address
317 WEST AVE, #113197 SMB#82886, STAMFORD, CT 06911
(203) 635-3548
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
CT
374700000X
Technician
ELECTROCARDIOGRAM
CT
3747P1801X
Personal Care Attendant
—
CT
374U00000X
Home Health Aide
—
CT
Other
Enumeration date
04/17/2025
Last updated
05/20/2025
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