Gorsuch, Wanda Lea
Gorsuch, Wanda Lea is an individual health care provider with primary practice located at 1401 25Th St S , Great Falls MT 59405-5183. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as her primary health care specialty. Gorsuch, Wanda Lea can be contacted via phone (406) 731-8888.Contact Information
Primary practice address
1401 25Th St S
Great Falls MT 59405-5183
Phone: (406) 731-8888
Fax: (406) 731-8318
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 6360 | Montana |
Profile Details
| NPI number | 1649211566 |
|---|---|
| LBN Legal business name | Gorsuch, Wanda Lea |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Apr 2nd, 2021 - about 3 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 | 1649211566 | NPPES |
| Montana | Other | 184609700 | FEDERAL WORK COMP |
| Montana | Other | 810347861 | FEDERAL WORK COMP |
| Montana | MEDICAID | 0080132 | FEDERAL WORK COMP |
| Montana | Other | 810347861004 | FEDERAL WORK COMP |
| Montana | Other | 000097000 | FEDERAL WORK COMP |
| Montana | Other | 200023483 | FEDERAL WORK COMP |
| Montana | Other | 0139917 | FEDERAL WORK COMP |
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