Gott, Kerry Norman
Gott, Kerry Norman is an individual health care provider with primary practice located at 255 E Bonita Ave , Pomona CA 91767-1923. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Gott, Kerry Norman can be contacted via phone (909) 596-7733.Contact Information
Primary practice address
255 E Bonita Ave
Pomona CA 91767-1923
Phone: (909) 596-7733
Fax: (909) 450-0357
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | G65566 | California |
Profile Details
| NPI number | 1013955186 |
|---|---|
| LBN Legal business name | Gott, Kerry Norman |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Mar 7th, 2023 - about 3 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 | 1013955186 | NPPES |
| Other | BK903Z | MEDICARE NO CAL PTAN | |
| Other | G65566 | MEDICARE NO CAL PTAN | |
| MEDICAID | 00C655660 | MEDICARE NO CAL PTAN | |
| MEDICAID | GR0059670 | MEDICARE NO CAL PTAN |
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