Gomez, Beth

Gomez, Beth is an individual health care provider with primary practice located at 301 S Vine St , Urbana IL 61801-3347. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gomez, Beth can be contacted via phone (217) 278-8669.

Contact Information

Primary practice address
301 S Vine St Urbana IL 61801-3347
Phone: (217) 278-8669
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209012705 Illinois

Profile Details

NPI number 1609263417
LBN Legal business name Gomez, Beth
Credentials FNP BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2015
Last updated Apr 20th, 2015 - about 9 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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