Bakkum, Alicia Lynn Gomez
Bakkum, Alicia Lynn Gomez is an sole proprietor health care provider with primary practice located at 2700 Grant St Suite 102, Concord CA 94520-2266. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Bakkum, Alicia Lynn Gomez can be contacted via phone (925) 674-2052.Contact Information
Primary practice address
2700 Grant St Suite 102
Concord CA 94520-2266
Phone: (925) 674-2052
Fax: (925) 674-2076
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 14719 | California |
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist | 364S00000X | 2013 | California |
Profile Details
NPI number | 1982793220 |
---|---|
LBN Legal business name | Bakkum, Alicia Lynn Gomez |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 12th, 2006 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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