Gorman, John A

Gorman, John A is an individual health care provider with primary practice located at 901 Willow Dr Suite 1, Chapel Hill NC 27514-7078. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gorman, John A can be contacted via phone (919) 942-2363.

Contact Information

Primary practice address
901 Willow Dr Suite 1 Chapel Hill NC 27514-7078
Fax: (919) 942-2761
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0013 North Carolina

Profile Details

NPI number 1326091604
LBN Legal business name Gorman, John A
Credentials PH.D. PSYCHOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326091604 NPPES
North Carolina MEDICAID 6000017

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