Gorham, James D.

Gorham, James D. is an individual health care provider with primary practice located at 1215 Lee St , Charlottesville VA 22908-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine, Allopathic & Osteopathic Physicians / Clinical Pathology. Allopathic & Osteopathic Physicians / Clinical Pathology is his primary health care specialty. Gorham, James D. can be contacted via phone (888) 882-3990.

Contact Information

Primary practice address
1215 Lee St Charlottesville VA 22908-0001
Phone: (888) 882-3990
Fax: (434) 243-6499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine 207ZB0001X 10424 New Hampshire
Allopathic & Osteopathic Physicians / Clinical Pathology 207ZC0006X 0101257556 Virginia

Profile Details

NPI number 1700815602
LBN Legal business name Gorham, James D.
Credentials M.D. PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2006
Last updated Oct 9th, 2020 - about 4 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 1700815602 NPPES
Vermont MEDICAID 0RE4976
Vermont MEDICAID 30200015

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