Gorum, Wendell Joseph
Gorum, Wendell Joseph is an sole proprietor health care provider with primary practice located at 1503 Gravesend Neck Rd , Brooklyn NY 11229-4428. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Gorum, Wendell Joseph can be contacted via phone (718) 479-3303.Contact Information
Primary practice address
1503 Gravesend Neck Rd
Brooklyn NY 11229-4428
Phone: (718) 479-3303
Fax: (646) 569-6993
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 248330 | New York |
Profile Details
| NPI number | 1659379469 |
|---|---|
| LBN Legal business name | Gorum, Wendell Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Apr 19th, 2016 - 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 | 1659379469 | NPPES |
| New York | MEDICAID | 03078360 |
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