Gourley, Meganne

Gourley, Meganne is an individual health care provider with primary practice located at 100 State Ave , Faribault MN 55021-6337. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gourley, Meganne can be contacted via phone (507) 334-3921.

Contact Information

Primary practice address
100 State Ave Faribault MN 55021-6337
Phone: (507) 334-3921
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085-006084 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 12581 Minnesota

Profile Details

NPI number 1275646978
LBN Legal business name Gourley, Meganne
Credentials PA-C, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Dec 28th, 2017 - about 8 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.

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