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Contact Information

GOMGOM SIREGAR
5235 S LIVERPOOL WAY
CENTENNIAL, CO80015
 Phone: 720-998-6372
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health Aide

374U00000X
Indicates primary specialty

NPI Profile & details for GOMGOM SIREGAR · (Male)

NPI # 1043664907
Status Active
Credentials
Entity Individual
Enumeration date 04/18/2016
Last updated 04/18/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • CO Medicaid 87637065
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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