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Contact Information

JILL R GOMEZ, NREMT-B
BLDG 301 ANDREWS AVE
LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL36362-5333
 Phone: 334-255-7400
 Fax: 334-255-7368
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
 

Emergency Medical Technician, Basic

146N00000X
Indicates primary specialty

NPI Profile & details for JILL R GOMEZ · (Female)

NPI Number 1295161545
Status Active
Credentials NREMT-B
Entity Individual
Enumeration date 09/18/2013
Last updated 10/03/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 2-064909
  • TX License # E3084504
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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