Gorman, Jalyn

Gorman, Jalyn is an individual health care provider with primary practice located at #1 Aspen Drive , Fort Defiance AZ 86504. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Gorman, Jalyn can be contacted via phone (928) 729-2290.

Contact Information

Primary practice address
#1 Aspen Drive Fort Defiance AZ 86504
Phone: (928) 729-2290
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X ATR-009263 Arizona

Profile Details

NPI number 1972072452
LBN Legal business name Gorman, Jalyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2018
Last updated Nov 30th, 2020 - about 5 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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