Gombash, Mary J

Gombash, Mary J is an sole proprietor health care provider with primary practice located at 4571 Westbourne Rd , Toledo OH 43623-2015. She recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as her primary health care specialty. Gombash, Mary J can be contacted via phone (419) 841-1660.

Contact Information

Primary practice address
4571 Westbourne Rd Toledo OH 43623-2015
Fax: (419) 841-4103
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 35047714 Ohio

Profile Details

NPI number 1528021201
LBN Legal business name Gombash, Mary J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2006
Last updated Jul 25th, 2007 - about 18 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 1528021201 NPPES
Ohio MEDICAID 0688707

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