Gorton-Childers, Donna Marie
Gorton-Childers, Donna Marie is an sole proprietor health care provider with primary practice located at 4605 Maccorkle Ave Sw , South Charleston WV 25309-1311. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Gorton-Childers, Donna Marie can be contacted via phone (304) 766-3589.Contact Information
Primary practice address
4605 Maccorkle Ave Sw
South Charleston WV 25309-1311
Phone: (304) 766-3589
Fax: (304) 766-3793
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 446 | West Virginia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 4086 | Massachusetts |
Profile Details
| NPI number | 1720290976 |
|---|---|
| LBN Legal business name | Gorton-Childers, Donna Marie |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2007 |
| Last updated | Mar 10th, 2010 - about 15 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 | 1720290976 | NPPES |
| West Virginia | Other | 257882 | MAMSI |
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