Gomez, Luis Felipe

Gomez, Luis Felipe is an individual health care provider with primary practice located at 611 E Douglas Rd , Mishawaka IN 46545-1464. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Gomez, Luis Felipe can be contacted via phone (574) 335-6850.

Contact Information

Primary practice address
611 E Douglas Rd Mishawaka IN 46545-1464
Phone: (574) 335-6850
Fax: (574) 335-0849
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 0101271820 Virginia

Profile Details

NPI number 1538570460
LBN Legal business name Gomez, Luis Felipe
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2014
Last updated May 10th, 2022 - about 2 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 1538570460 NPPES
Indiana MEDICAID 300056322

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