Gorman, Ike B
Gorman, Ike B is an sole proprietor health care provider with primary practice located at 1500 N Wilmot Rd Ste A230, Tucson AZ 85712-4416. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Gorman, Ike B can be contacted via phone (520) 722-5115.Contact Information
Primary practice address
1500 N Wilmot Rd Ste A230
Tucson AZ 85712-4416
Phone: (520) 722-5115
Fax: (520) 722-0611
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 301 | Arizona |
Profile Details
| NPI number | 1528028115 |
|---|---|
| LBN Legal business name | Gorman, Ike B |
| Credentials | DPM.,PC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 27th, 2006 |
| Last updated | May 17th, 2011 - about 14 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 | 1528028115 | NPPES |
| Arizona | MEDICAID | 700981 |
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