Fifer, Carlen Gomez
Fifer, Carlen Gomez is an individual health care provider with primary practice located at 1500 East Medical Center Dr C.S. Mott Childrens Hospital 11Th Floor Room 661, Ann Arbor MI 48109-5204. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Cardiology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Cardiology is her primary health care specialty. Fifer, Carlen Gomez can be contacted via phone (734) 764-5176.Contact Information
Primary practice address
1500 East Medical Center Dr C.S. Mott Childrens Hospital 11Th Floor Room 661
Ann Arbor MI 48109-5204
Phone: (734) 764-5176
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 4301059495 | Michigan |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301059495 | Michigan |
Profile Details
| NPI number | 1487664009 |
|---|---|
| LBN Legal business name | Fifer, Carlen Gomez |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Nov 21st, 2012 - 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 | 1487664009 | NPPES |
| Michigan | MEDICAID | 3484445 |
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