Gorman, Ingrid

Gorman, Ingrid is an individual health care provider with primary practice located at 321 Main St , Acton MA 01720-3718. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Gorman, Ingrid can be contacted via phone (978) 263-1131.

Contact Information

Primary practice address
321 Main St Acton MA 01720-3718
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 81520 Massachusetts

Profile Details

NPI number 1053302158
LBN Legal business name Gorman, Ingrid
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Mar 30th, 2011 - about 13 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 1053302158 NPPES
Massachusetts MEDICAID 3143783

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