Gomez, Alberto
Gomez, Alberto is an individual health care provider with primary practice located at 609 W Maple Ave , Springdale AR 72764-5335. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Gomez, Alberto can be contacted via phone (479) 751-5711.Contact Information
Primary practice address
609 W Maple Ave
Springdale AR 72764-5335
Phone: (479) 751-5711
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 2023000705 | Missouri |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2023000705 | Missouri |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 306789 | Louisiana |
Profile Details
NPI number | 1164832903 |
---|---|
LBN Legal business name | Gomez, Alberto |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 1st, 2014 |
Last updated | Apr 19th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1164832903 | NPPES |
Missouri | MEDICAID | 200076359 | |
Missouri | Other | 26D0446923 |
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