Gormley, Joanne M

Gormley, Joanne M is an individual health care provider with primary practice located at 7320 216Th St Sw Ste 320B , Edmonds WA 98026. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as her primary health care specialty. Gormley, Joanne M can be contacted via phone (425) 775-6996.

Contact Information

Primary practice address
7320 216Th St Sw Ste 320B Edmonds WA 98026
Fax: (425) 670-8905
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X PO00000433 Washington

Profile Details

NPI number 1831297258
LBN Legal business name Gormley, Joanne M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jun 13th, 2018 - about 7 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 1831297258 NPPES
Washington MEDICAID 1045867
Washington MEDICAID 1086883
Washington Other G17000140

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