Gorman, Matthew

Gorman, Matthew is an individual health care provider with primary practice located at 10 Saint Clare Ct , Washington IL 61571-9239. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Gorman, Matthew can be contacted via phone (309) 886-4000.

Contact Information

Primary practice address
10 Saint Clare Ct Washington IL 61571-9239
Phone: (309) 886-4000
Fax: (309) 886-4101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Illinois

Profile Details

NPI number 1427130392
LBN Legal business name Gorman, Matthew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Mar 27th, 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 1427130392 NPPES
Illinois Other 809840 GROUP #

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