Gourley, Peter Gordon
Gourley, Peter Gordon is an individual health care provider with primary practice located at 1130 W Prairie Ave , Coeur D Alene ID 83815-8780. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Gourley, Peter Gordon can be contacted via phone (208) 209-0288.Contact Information
Primary practice address
1130 W Prairie Ave
Coeur D Alene ID 83815-8780
Phone: (208) 209-0288
Fax: (208) 209-0289
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP30005913 | Washington |
Profile Details
| NPI number | 1114961240 |
|---|---|
| LBN Legal business name | Gourley, Peter Gordon |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Feb 11th, 2016 - 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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