Gamboa, Edgardo
Gamboa, Edgardo is an individual health care provider with primary practice located at 2214 Canterbury Dr Suite 314, Hays KS 67601-2375. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Gamboa, Edgardo can be contacted via phone (785) 623-2326.Contact Information
Primary practice address
2214 Canterbury Dr Suite 314
Hays KS 67601-2375
Phone: (785) 623-2326
Fax: (785) 623-2331
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 0429376 | Kansas |
Profile Details
| NPI number | 1104890805 |
|---|---|
| LBN Legal business name | Gamboa, Edgardo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Dec 16th, 2009 - about 15 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 | 1104890805 | NPPES |
| Kansas | MEDICAID | 100168010B |
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