Gore, Wayne Bruce
Gore, Wayne Bruce is an individual health care provider with primary practice located at 102 Heritage Way Ne Ste 302 , Leesburg VA 20176-4544. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Gore, Wayne Bruce can be contacted via phone (703) 771-5100.Contact Information
Primary practice address
102 Heritage Way Ne Ste 302
Leesburg VA 20176-4544
Phone: (703) 771-5100
Fax: (703) 777-0170
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0710101151 | Virginia |
Profile Details
| NPI number | 1164520029 |
|---|---|
| LBN Legal business name | Gore, Wayne Bruce |
| Credentials | MED, CSAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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