Gorr, Richard Lavern
Gorr, Richard Lavern is an individual health care provider with primary practice located at 1 Colville Street , Nespelem WA 99155. He recently has only one registered license in Emergency Medical Service Providers / Emergency Medical Technician, Basic, which is considered as his primary health care specialty. Gorr, Richard Lavern can be contacted via phone (509) 634-2727.Contact Information
Primary practice address
1 Colville Street
Nespelem WA 99155
Phone: (509) 634-2727
Fax: (509) 634-2781
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Emergency Medical Service Providers / Emergency Medical Technician, Basic | 146N00000X | 1164856 | Washington |
Profile Details
| NPI number | 1568670966 |
|---|---|
| LBN Legal business name | Gorr, Richard Lavern |
| Credentials | EMT-B |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2007 |
| Last updated | Jul 9th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568670966 | NPPES |
| Washington | MEDICAID | 9545807 |
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