Gorgen, Amy L

Gorgen, Amy L is an individual health care provider with primary practice located at W180N8085 Town Hall Rd , Menomonee Falls WI 53051-3518. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Gorgen, Amy L can be contacted via phone (262) 257-3070.

Contact Information

Primary practice address
W180N8085 Town Hall Rd Menomonee Falls WI 53051-3518
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 12178 Wisconsin

Profile Details

NPI number 1568460194
LBN Legal business name Gorgen, Amy L
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Jul 30th, 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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