Gorby, Bruce A.
Gorby, Bruce A. is an individual health care provider with primary practice located at Us Route 219 And 250 , Mill Creek WV 26280-0247. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Gorby, Bruce A. can be contacted via phone (304) 335-2050.Contact Information
Primary practice address
Us Route 219 And 250
Mill Creek WV 26280-0247
Phone: (304) 335-2050
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 1218 | West Virginia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1218 | West Virginia |
Profile Details
| NPI number | 1659319457 |
|---|---|
| LBN Legal business name | Gorby, Bruce A. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Jul 25th, 2014 - about 12 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 | 1659319457 | NPPES |
| West Virginia | Other | 000695656 | BCBS |
| West Virginia | MEDICAID | 0042211000 | BCBS |
| West Virginia | Other | P00234106 | BCBS |
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