Dormevil, Garry Roger
Dormevil, Garry Roger is an sole proprietor health care provider with primary practice located at 79440 Corporate Center Dr Ste 100 , La Quinta CA 92253-7243. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Dormevil, Garry Roger can be contacted via phone (805) 719-3700.Contact Information
Primary practice address
79440 Corporate Center Dr Ste 100
La Quinta CA 92253-7243
Phone: (805) 719-3700
Fax: (805) 413-9099
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0024180743 | Virginia |
Profile Details
| NPI number | 1164196457 |
|---|---|
| LBN Legal business name | Dormevil, Garry Roger |
| Credentials | NURSE PRACTITIONER |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2021 |
| Last updated | Apr 7th, 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.
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