Wills, Mark Gorton
Wills, Mark Gorton is an sole proprietor health care provider with primary practice located at 347 Andrieux Street , Sonoma CA 95476-6811. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Wills, Mark Gorton can be contacted via phone (707) 935-5100.Contact Information
Primary practice address
347 Andrieux Street
Sonoma CA 95476-6811
Phone: (707) 935-5100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | G63295 | California |
Profile Details
| NPI number | 1063525715 |
|---|---|
| LBN Legal business name | Wills, Mark Gorton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Jul 7th, 2008 - 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 | 1063525715 | NPPES |
| California | MEDICAID | 00G632950 |
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