Bombino, Paul Amadeo

Bombino, Paul Amadeo is an individual health care provider with primary practice located at 13907 W Camino Del Sol Suite 101, Sun City West AZ 85375-4405. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bombino, Paul Amadeo can be contacted via phone (623) 584-4695.

Contact Information

Primary practice address
13907 W Camino Del Sol Suite 101 Sun City West AZ 85375-4405
Phone: (623) 584-4695
Fax: (623) 298-6708
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25469 Arizona

Profile Details

NPI number 1104842038
LBN Legal business name Bombino, Paul Amadeo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Dec 10th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104842038 NPPES
Arizona Other 1Z3916 HEALTHNET AZ
Arizona Other 340013728 HEALTHNET AZ
Arizona Other AZ0810320 HEALTHNET AZ
Arizona MEDICAID 397051 HEALTHNET AZ

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