Gomon, Elizabeth A

Gomon, Elizabeth A is an individual health care provider with primary practice located at 401 S Ballenger Hwy Attn Surgical Services, Flint MI 48532-3638. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Gomon, Elizabeth A can be contacted via phone (810) 342-4917.

Contact Information

Primary practice address
401 S Ballenger Hwy Attn Surgical Services Flint MI 48532-3638
Phone: (810) 342-4917
Fax: (810) 342-1335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704144384 Michigan

Profile Details

NPI number 1164495735
LBN Legal business name Gomon, Elizabeth A
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jul 8th, 2007 - about 17 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 1164495735 NPPES
Michigan MEDICAID 3227653
Michigan Other EG144384

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