Gorman, Stephen R

Gorman, Stephen R is an individual health care provider with primary practice located at 100 Foden Road West Building Suite 103, South Portland ME 04106. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Gorman, Stephen R can be contacted via phone (207) 828-1122.

Contact Information

Primary practice address
100 Foden Road West Building Suite 103 South Portland ME 04106
Fax: (207) 828-0188
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 1717 Maine
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 1717 Maine

Profile Details

NPI number 1811931876
LBN Legal business name Gorman, Stephen R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Sep 21st, 2010 - about 15 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 1811931876 NPPES
Maine MEDICAID 283650099

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