Gomes, Mark Anthony
Gomes, Mark Anthony is an individual health care provider with primary practice located at 500 N 9Th St Ste D , Modesto CA 95350-5814. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Gomes, Mark Anthony can be contacted via phone (209) 552-2754.Contact Information
Primary practice address
500 N 9Th St Ste D
Modesto CA 95350-5814
Phone: (209) 552-2754
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Peer Specialist | 175T00000X | ||
Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
NPI number | 1497150783 |
---|---|
LBN Legal business name | Gomes, Mark Anthony |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 29th, 2014 |
Last updated | Sep 7th, 2023 - about last year |
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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