Gong, Aleta Belinda

Gong, Aleta Belinda is an individual health care provider with primary practice located at 16020 N 35Th Ave , Phoenix AZ 85053-3822. She recently has only one registered license in Eye and Vision Services Providers / Vision Therapy, which is considered as her primary health care specialty. Gong, Aleta Belinda can be contacted via phone (602) 547-3255.

Contact Information

Primary practice address
16020 N 35Th Ave Phoenix AZ 85053-3822
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Vision Therapy 152WV0400X AZ 835 Arizona

Profile Details

NPI number 1003887944
LBN Legal business name Gong, Aleta Belinda
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Oct 2nd, 2014 - about 10 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 1003887944 NPPES
Arizona Other Z103102 GROUP ID #
Arizona MEDICAID 860840518 GROUP ID #

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