Gore, Alvin I

Gore, Alvin I is an individual health care provider with primary practice located at 1165 Montgomery Dr # 1W20 , Santa Rosa CA 95405-4801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gore, Alvin I can be contacted via phone (707) 303-8307.

Contact Information

Primary practice address
1165 Montgomery Dr # 1W20 Santa Rosa CA 95405-4801
Phone: (707) 303-8307
Fax: (707) 303-1992
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD417462 Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A79731 California

Profile Details

NPI number 1326042821
LBN Legal business name Gore, Alvin I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Nov 2nd, 2021 - about 5 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 1326042821 NPPES
Pennsylvania MEDICAID 001858789

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