Gomez Cordero, Rodrigo

Gomez Cordero, Rodrigo is an individual health care provider with primary practice located at 1112 Verges Ave , Norfolk NE 68701. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Gomez Cordero, Rodrigo can be contacted via phone (402) 379-8717.

Contact Information

Primary practice address
1112 Verges Ave Norfolk NE 68701
Phone: (402) 379-8717
Fax: (402) 379-0447
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 15892 Nebraska
Allopathic & Osteopathic Physicians / Surgery 208600000X 15892 Nebraska

Profile Details

NPI number 1144384611
LBN Legal business name Gomez Cordero, Rodrigo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Sep 28th, 2017 - about 9 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 1144384611 NPPES
Nebraska MEDICAID 47080766801
Nebraska Other 06484
Nebraska Other 2407

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