Gomez, Nicolas Shane
Gomez, Nicolas Shane is an individual health care provider with primary practice located at 2000 W Marine View Dr Bldg 2202 Psns/Imf Dive Locker - Medical, Everett WA 98207-0001. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Gomez, Nicolas Shane can be contacted via phone (425) 304-5504.Contact Information
Primary practice address
2000 W Marine View Dr Bldg 2202 Psns/Imf Dive Locker - Medical
Everett WA 98207-0001
Phone: (425) 304-5504
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1689933210 |
|---|---|
| LBN Legal business name | Gomez, Nicolas Shane |
| Credentials | NAVY DIVE IDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2012 |
| Last updated | May 16th, 2012 - about 12 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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