Gomes, Glenn Mark
Gomes, Glenn Mark is an individual health care provider with primary practice located at 10310 The Grove Blvd , Baton Rouge LA 70836-6455. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Gomes, Glenn Mark can be contacted via phone (225) 761-5200.Contact Information
Primary practice address
10310 The Grove Blvd
Baton Rouge LA 70836-6455
Phone: (225) 761-5200
Fax: (225) 761-5711
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 015674 | Louisiana |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 15674 | Louisiana |
Profile Details
| NPI number | 1558386631 |
|---|---|
| LBN Legal business name | Gomes, Glenn Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Jun 13th, 2019 - about 6 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 | 1558386631 | NPPES |
| Louisiana | MEDICAID | 1312037 |
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