Gomez, Michael Ray

Gomez, Michael Ray is an individual health care provider with primary practice located at 3400 W 16Th St Ste P , Greeley CO 80634-6871. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Gomez, Michael Ray can be contacted via phone (970) 978-4386.

Contact Information

Primary practice address
3400 W 16Th St Ste P Greeley CO 80634-6871
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN0335320 Colorado

Profile Details

NPI number 1093481418
LBN Legal business name Gomez, Michael Ray
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2021
Last updated Aug 17th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093481418 NPPES
Other NONE NONE

Popular Providers