Bomer, Donald L
Bomer, Donald L is an sole proprietor health care provider with primary practice located at 2021 Berkley Dr , Wichita Falls TX 76308-1346. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Bomer, Donald L can be contacted via phone (940) 322-7000.Contact Information
Primary practice address
2021 Berkley Dr
Wichita Falls TX 76308-1346
Phone: (940) 322-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | D9084 | Texas |
Profile Details
| NPI number | 1477546331 |
|---|---|
| LBN Legal business name | Bomer, Donald L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 25th, 2005 |
| Last updated | Aug 23rd, 2010 - about 16 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 | 1477546331 | NPPES |
| Texas | MEDICAID | 123606901 |
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