Bombino, Paul Amadeo
Bombino, Paul Amadeo is an individual health care provider with primary practice located at 13907 W Camino Del Sol Suite 101, Sun City West AZ 85375-4405. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bombino, Paul Amadeo can be contacted via phone (623) 584-4695.Contact Information
Primary practice address
13907 W Camino Del Sol Suite 101
Sun City West AZ 85375-4405
Phone: (623) 584-4695
Fax: (623) 298-6708
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 25469 | Arizona |
Profile Details
| NPI number | 1104842038 |
|---|---|
| LBN Legal business name | Bombino, Paul Amadeo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Dec 10th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104842038 | NPPES |
| Arizona | Other | 1Z3916 | HEALTHNET AZ |
| Arizona | Other | 340013728 | HEALTHNET AZ |
| Arizona | Other | AZ0810320 | HEALTHNET AZ |
| Arizona | MEDICAID | 397051 | HEALTHNET AZ |
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