Gomez, Manuel Antonio
Gomez, Manuel Antonio is an sole proprietor health care provider with primary practice located at 320 W Main St , White Sulphur Springs WV 24986-2414. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Cytopathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Gomez, Manuel Antonio can be contacted via phone (304) 647-6061.Contact Information
Primary practice address
320 W Main St
White Sulphur Springs WV 24986-2414
Phone: (304) 647-6061
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 10506 | West Virginia |
| Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | 10506 | West Virginia |
Profile Details
| NPI number | 1841293636 |
|---|---|
| LBN Legal business name | Gomez, Manuel Antonio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2005 |
| Last updated | Jan 19th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841293636 | NPPES |
| Virginia | MEDICAID | 000650961 | |
| Virginia | MEDICAID | 0102000000 |
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