Sirucek, Maria Teresa Gomez

Sirucek, Maria Teresa Gomez is an individual health care provider with primary practice located at 3080 E Gentry Way Suite 110, Meridian ID 83642-3544. She recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Neurology. Chiropractic Providers / Chiropractor is her primary health care specialty. Sirucek, Maria Teresa Gomez can be contacted via phone (208) 345-7262.

Contact Information

Primary practice address
3080 E Gentry Way Suite 110 Meridian ID 83642-3544
Phone: (208) 345-7262
Fax: (208) 343-1953
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CHIA-1370 Idaho
Chiropractic Providers / Neurology 111NN0400X CHIA-1370 Idaho

Profile Details

NPI number 1104055383
LBN Legal business name Sirucek, Maria Teresa Gomez
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2009
Last updated Jan 10th, 2013 - about 11 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 1104055383 NPPES
Idaho MEDICAID 1093975302

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