Gomes, Agnes

Gomes, Agnes is an individual health care provider with primary practice located at 2444 W Faidley Ave , Grand Island NE 68803-4327. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gomes, Agnes can be contacted via phone (308) 382-1100.

Contact Information

Primary practice address
2444 W Faidley Ave Grand Island NE 68803-4327
Phone: (308) 382-1100
Fax: (308) 385-0796
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 13219 Nebraska

Profile Details

NPI number 1659371607
LBN Legal business name Gomes, Agnes
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Nov 5th, 2007 - about 19 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 1659371607 NPPES
Nebraska Other 5931 MIDLANDS CHOICE
Nebraska Other 00819 MIDLANDS CHOICE
Nebraska MEDICAID 47017633037 MIDLANDS CHOICE

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