Gumboc, Irene D

Gumboc, Irene D is an individual health care provider with primary practice located at 99 Starr St , Norwich CT 06360-4025. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Gumboc, Irene D can be contacted via phone (860) 501-2725.

Contact Information

Primary practice address
99 Starr St Norwich CT 06360-4025
Phone: (860) 501-2725
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 7550 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 7550 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 7550 Connecticut

Profile Details

NPI number 1407346323
LBN Legal business name Gumboc, Irene D
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2018
Last updated May 16th, 2018 - about 7 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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