Gore, Herman Clark

Gore, Herman Clark is an individual health care provider with primary practice located at 900 Cox Rd Suite A, Gastonia NC 28054-3460. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Gore, Herman Clark can be contacted via phone (704) 864-3300.

Contact Information

Primary practice address
900 Cox Rd Suite A Gastonia NC 28054-3460
Phone: (704) 864-3300
Fax: (704) 864-2002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 9900850 North Carolina
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 9900850 North Carolina

Profile Details

NPI number 1336103365
LBN Legal business name Gore, Herman Clark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Dec 7th, 2022 - about 3 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 1336103365 NPPES
North Carolina MEDICAID 891225X
North Carolina Other 1225X
North Carolina MEDICAID N00851

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