Gormley, Mark E
Gormley, Mark E is an individual health care provider with primary practice located at 200 University Ave E , Saint Paul MN 55101-2507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Gormley, Mark E can be contacted via phone (651) 229-3819.Contact Information
Primary practice address
200 University Ave E
Saint Paul MN 55101-2507
Phone: (651) 229-3819
Fax: (651) 265-7443
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 36551 | Minnesota |
Profile Details
| NPI number | 1558392068 |
|---|---|
| LBN Legal business name | Gormley, Mark E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Mar 31st, 2015 - about 9 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 | 1558392068 | NPPES |
| Minnesota | MEDICAID | 726263900 |
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