Gorman, Mary Ellen
Gorman, Mary Ellen is an sole proprietor health care provider with primary practice located at 42 Washington St Suite 210, Wellesley MA 02481. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Gorman, Mary Ellen can be contacted via phone (781) 431-1990.Contact Information
Primary practice address
42 Washington St Suite 210
Wellesley MA 02481
Phone: (781) 431-1990
Fax: (781) 416-4321
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health, Adult | 163WP0809X | 161364 | Massachusetts |
Profile Details
| NPI number | 1235176538 |
|---|---|
| LBN Legal business name | Gorman, Mary Ellen |
| Credentials | RN CS MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Jan 7th, 2010 - about 14 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 | 1235176538 | NPPES |
| Massachusetts | Other | PN0802 | BLUE CROSS |
| Massachusetts | Other | 478906 | BLUE CROSS |
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