Dorman, Gertrude
Dorman, Gertrude is an sole proprietor health care provider with primary practice located at 21936 Beverly Ave , Port Charlotte FL 33952-5429. She recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as her primary health care specialty. Dorman, Gertrude can be contacted via phone (941) 467-2665.Contact Information
Primary practice address
21936 Beverly Ave
Port Charlotte FL 33952-5429
Phone: (941) 467-2665
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X |
Profile Details
| NPI number | 1235890559 |
|---|---|
| LBN Legal business name | Dorman, Gertrude |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 8th, 2022 |
| Last updated | Jan 8th, 2022 - about 2 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 | 1235890559 | NPPES |
| Florida | Other | 87-3948492 | TAX IDENTIFICATION |
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