Gomez, Enio

Gomez, Enio is an individual health care provider with primary practice located at 428 Columbus Ave , New Haven CT 06519-1233. He recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as his primary health care specialty. Gomez, Enio can be contacted via phone (203) 503-3040.

Contact Information

Primary practice address
428 Columbus Ave New Haven CT 06519-1233
Phone: (203) 503-3040
Fax: (203) 503-3187
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 7865 Connecticut

Profile Details

NPI number 1720535545
LBN Legal business name Gomez, Enio
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2016
Last updated Oct 7th, 2016 - about 10 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 1720535545 NPPES
Connecticut MEDICAID 004235893

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