Gorum, Kathy
Gorum, Kathy is an sole proprietor health care provider with primary practice located at 1503 W 6Th St , Silver City NM 88061-3703. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Gorum, Kathy can be contacted via phone (575) 574-0637.Contact Information
Primary practice address
1503 W 6Th St
Silver City NM 88061-3703
Phone: (575) 574-0637
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 5002 | New Mexico |
Profile Details
| NPI number | 1598904997 |
|---|---|
| LBN Legal business name | Gorum, Kathy |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 10th, 2009 |
| Last updated | Feb 10th, 2009 - about 16 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 | 1598904997 | NPPES |
| New Mexico | Other | 5002 | NEW MEXICO MASSAGE THERAPY BOARD |
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