Gooris, Paul Raymond
Gooris, Paul Raymond is an individual health care provider with primary practice located at 110 Sheep Springs Way , Jemez Pueblo NM 87114. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Gooris, Paul Raymond can be contacted via phone (505) 834-7413.Contact Information
Primary practice address
110 Sheep Springs Way
Jemez Pueblo NM 87114
Phone: (505) 834-7413
Fax: (505) 834-7517
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 84-PA005 | New Mexico |
Profile Details
| NPI number | 1013008150 |
|---|---|
| LBN Legal business name | Gooris, Paul Raymond |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1013008150 | NPPES |
| New Mexico | MEDICAID | 91314 |
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