Gorman, Jack B.

Gorman, Jack B. is an individual health care provider with primary practice located at 399 York Rd , Warminster PA 18974-4516. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Gorman, Jack B. can be contacted via phone (215) 672-3222.

Contact Information

Primary practice address
399 York Rd Warminster PA 18974-4516
Phone: (215) 672-3222
Fax: (215) 672-6634
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X SC001284L Pennsylvania

Profile Details

NPI number 1922036375
LBN Legal business name Gorman, Jack B.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated May 29th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922036375 NPPES
Pennsylvania MEDICAID 0505452
Pennsylvania Other 31851A
Pennsylvania Other 048077
Pennsylvania Other T23784
Pennsylvania Other 0023085000

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