Gomez, Staci L.
Gomez, Staci L. is an individual health care provider with primary practice located at 3033 W Layton Ave Ste 202 , Greenfield WI 53221-2621. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Gomez, Staci L. can be contacted via phone (414) 647-0033.Contact Information
Primary practice address
3033 W Layton Ave Ste 202
Greenfield WI 53221-2621
Phone: (414) 647-0033
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | 1931-26 | Wisconsin |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | 1931-026 | Wisconsin |
Profile Details
NPI number | 1679562847 |
---|---|
LBN Legal business name | Gomez, Staci L. |
Credentials | OTR/CHT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 19th, 2005 |
Last updated | Feb 25th, 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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