Gomez, Gina
Gomez, Gina is an individual health care provider with primary practice located at 2400 Hospital Dr Suite 240, Bossier City LA 71111-2385. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Gomez, Gina can be contacted via phone (318) 742-1795.Contact Information
Primary practice address
2400 Hospital Dr Suite 240
Bossier City LA 71111-2385
Phone: (318) 742-1795
Fax: (318) 741-3902
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD.201749 | Louisiana |
Profile Details
| NPI number | 1740482504 |
|---|---|
| LBN Legal business name | Gomez, Gina |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2007 |
| Last updated | Jul 14th, 2021 - about 5 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 | 1740482504 | NPPES |
| Louisiana | MEDICAID | 1093246 |
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