Gorman, Elizabeth A
Gorman, Elizabeth A is an individual health care provider with primary practice located at 421 Camelot Dr , Fond Du Lac WI 54935-4560. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Gorman, Elizabeth A can be contacted via phone (920) 926-8460.Contact Information
Primary practice address
421 Camelot Dr
Fond Du Lac WI 54935-4560
Phone: (920) 926-8460
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 366156 | Wisconsin |
Profile Details
| NPI number | 1134110539 |
|---|---|
| LBN Legal business name | Gorman, Elizabeth A |
| Credentials | MS CCC-A |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Feb 16th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134110539 | NPPES |
| Wisconsin | MEDICAID | 41143200 | |
| Wisconsin | Other | 640004449 |
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