Gorman, Chad

Gorman, Chad is an individual health care provider with primary practice located at 4419 Rowan Rd , New Port Richey FL 34653. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Gorman, Chad can be contacted via phone (727) 597-8430.

Contact Information

Primary practice address
4419 Rowan Rd New Port Richey FL 34653
Phone: (727) 597-8430
Fax: (727) 597-8431
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 27182 Oklahoma
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X ME115920 Florida

Profile Details

NPI number 1659507507
LBN Legal business name Gorman, Chad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2009
Last updated Jun 15th, 2018 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659507507 NPPES
Florida Other 14RY1 BCBS FL
Florida MEDICAID 009564500 BCBS FL

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