Gomez, Fernando

Gomez, Fernando is an individual health care provider with primary practice located at 2500 North State Street University Of Mississippi Medical Center, Jackson MS 39216-4505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Gomez, Fernando can be contacted via phone (601) 984-5200.

Contact Information

Primary practice address
2500 North State Street University Of Mississippi Medical Center Jackson MS 39216-4505
Phone: (601) 984-5200
Fax: (601) 984-2086
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 22552 Mississippi

Profile Details

NPI number 1669784385
LBN Legal business name Gomez, Fernando
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2010
Last updated Dec 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669784385 NPPES
Mississippi MEDICAID 09303041
Mississippi MEDICAID 2406752
Mississippi MEDICAID 157213

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