Gomez, Albert C

Gomez, Albert C is an individual health care provider with primary practice located at 5601 Domingo Rd Ne , Albuquerque NM 87108-1610. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Gomez, Albert C can be contacted via phone (505) 268-5295.

Contact Information

Primary practice address
5601 Domingo Rd Ne Albuquerque NM 87108-1610
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1033462353
LBN Legal business name Gomez, Albert C
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2012
Last updated Oct 24th, 2012 - about 13 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 1033462353 NPPES
New Mexico MEDICAID B9311

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