Gomersall, Tim

Gomersall, Tim is an sole proprietor health care provider with primary practice located at 525 2Nd St , Eureka CA 95501-5107. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Gomersall, Tim can be contacted via phone (707) 407-7475.

Contact Information

Primary practice address
525 2Nd St Eureka CA 95501-5107
Phone: (707) 407-7475
Fax: (707) 441-1913
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X LEP 2754 California

Profile Details

NPI number 1114285772
LBN Legal business name Gomersall, Tim
Credentials L.E.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2012
Last updated May 1st, 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.

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