Herrera, Gorky
Herrera, Gorky is an sole proprietor health care provider with primary practice located at 10320 W Mcdowell Rd G-7024, Avondale AZ 85392-4863. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Herrera, Gorky can be contacted via phone (602) 258-6797.Contact Information
Primary practice address
10320 W Mcdowell Rd G-7024
Avondale AZ 85392-4863
Phone: (602) 258-6797
Fax: (602) 258-1134
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 31471 | Arizona |
Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | 31471 | Arizona |
Profile Details
NPI number | 1740222025 |
---|---|
LBN Legal business name | Herrera, Gorky |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 12th, 2006 |
Last updated | Jul 22nd, 2011 - about 13 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 | 1740222025 | NPPES |
Arizona | MEDICAID | 815417 |
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