Gilman Vorster, Jennifer Ann

Gilman Vorster, Jennifer Ann is an individual health care provider with primary practice located at 81833 Doctor Carreon Blvd Ste 5 , Indio CA 92201-5590. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Gilman Vorster, Jennifer Ann can be contacted via phone (760) 863-2241.

Contact Information

Primary practice address
81833 Doctor Carreon Blvd Ste 5 Indio CA 92201-5590
Fax: (760) 863-1919
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 12255 California

Profile Details

NPI number 1760562813
LBN Legal business name Gilman Vorster, Jennifer Ann
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Jul 25th, 2014 - about 11 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 1760562813 NPPES
California MEDICAID SD0122550

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