Gore, Cheryl R

Gore, Cheryl R is an individual health care provider with primary practice located at 855 Lovers Ln Ste 106 , Bowling Green KY 42103-7989. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Gore, Cheryl R can be contacted via phone (270) 938-5765.

Contact Information

Primary practice address
855 Lovers Ln Ste 106 Bowling Green KY 42103-7989
Phone: (270) 938-5765
Fax: (833) 471-3546
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 5010003 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 3009103 Kentucky

Profile Details

NPI number 1710375050
LBN Legal business name Gore, Cheryl R
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2015
Last updated Mar 20th, 2019 - 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 1710375050 NPPES
Kentucky MEDICAID 7100346680

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