Dorshimer, Gary W

Dorshimer, Gary W is an individual health care provider with primary practice located at 727 Delancey Street , Philadelphia PA 19106. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Dorshimer, Gary W can be contacted via phone (218) 829-3523.

Contact Information

Primary practice address
727 Delancey Street Philadelphia PA 19106
Fax: (215) 829-6023
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X MD027094E Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD027094E Pennsylvania

Profile Details

NPI number 1568408748
LBN Legal business name Dorshimer, Gary W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Oct 19th, 2012 - about 12 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 1568408748 NPPES
Pennsylvania MEDICAID 0009677600001

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