Ortega-Gomes, Marisela

Ortega-Gomes, Marisela is an individual health care provider with primary practice located at 4510 Dressler Rd Nw , Canton OH 44718-2546. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Ortega-Gomes, Marisela can be contacted via phone (330) 494-5155.

Contact Information

Primary practice address
4510 Dressler Rd Nw Canton OH 44718-2546
Phone: (330) 494-5155
Fax: (330) 494-6868
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X C.1100634 Ohio

Profile Details

NPI number 1720346802
LBN Legal business name Ortega-Gomes, Marisela
Credentials P.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2012
Last updated Apr 26th, 2012 - about 14 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 1720346802 NPPES
Ohio MEDICAID 10024

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