Gorman, Brian

Gorman, Brian is an individual health care provider with primary practice located at 200 1St St Sw , Rochester MN 55905-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, which is considered as his primary health care specialty. Gorman, Brian can be contacted via phone (507) 284-2511.

Contact Information

Primary practice address
200 1St St Sw Rochester MN 55905-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X 36152 Minnesota

Profile Details

NPI number 1295715662
LBN Legal business name Gorman, Brian
Credentials MBBCH
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Dec 5th, 2012 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295715662 NPPES
Minnesota MEDICAID 020322000
Minnesota MEDICAID 35139600
Minnesota MEDICAID ENROLLED
Minnesota Other 300028385
Minnesota MEDICAID ENROLLED

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