Gomez Marroquin, Erick Fernando
Gomez Marroquin, Erick Fernando is an individual health care provider with primary practice located at One Kneeland St Room 416, Boston MA 02111. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Gomez Marroquin, Erick Fernando can be contacted via phone (617) 636-6814.Contact Information
Primary practice address
One Kneeland St Room 416
Boston MA 02111
Phone: (617) 636-6814
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DF11773 | Massachusetts |
| Dental Providers / Dentist | 122300000X | DF11888 | Massachusetts |
Profile Details
| NPI number | 1487006649 |
|---|---|
| LBN Legal business name | Gomez Marroquin, Erick Fernando |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2016 |
| Last updated | Oct 28th, 2022 - about 4 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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