De Castro, Elsa Gomez
De Castro, Elsa Gomez is an sole proprietor health care provider with primary practice located at 2605 Rainbow Glow St , North Las Vegas NV 89030-3709. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as her primary health care specialty. De Castro, Elsa Gomez can be contacted via phone (702) 630-5009.Contact Information
Primary practice address
2605 Rainbow Glow St
North Las Vegas NV 89030-3709
Phone: (702) 630-5009
Fax: (702) 631-9821
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner | 225400000X |
Profile Details
| NPI number | 1578995916 |
|---|---|
| LBN Legal business name | De Castro, Elsa Gomez |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 8th, 2013 |
| Last updated | Aug 8th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578995916 | NPPES |
| Nevada | MEDICAID | 225400000X |
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