Gormley, Elizabeth Ann

Gormley, Elizabeth Ann is an individual health care provider with primary practice located at 1 Medical Center Dr Section Of Urology, Lebanon NH 03756-1000. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Urology is her primary health care specialty. Gormley, Elizabeth Ann can be contacted via phone (603) 650-6053.

Contact Information

Primary practice address
1 Medical Center Dr Section Of Urology Lebanon NH 03756-1000
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 9038 New Hampshire
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 2088F0040X 9038 New Hampshire

Profile Details

NPI number 1457465189
LBN Legal business name Gormley, Elizabeth Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Apr 2nd, 2012 - about 12 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 1457465189 NPPES
Vermont MEDICAID 0RE2822
Vermont MEDICAID 99002822

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