Gorman, Mary Jo
Gorman, Mary Jo is an individual health care provider with primary practice located at 12303 Depaul Drive , Bridgeton MO 63044-5536. She recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as her primary health care specialty. Gorman, Mary Jo can be contacted via phone (314) 344-6000.Contact Information
Primary practice address
12303 Depaul Drive
Bridgeton MO 63044-5536
Phone: (314) 344-6000
Fax: (314) 514-6020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | R5G50 | Missouri |
Profile Details
| NPI number | 1972576775 |
|---|---|
| LBN Legal business name | Gorman, Mary Jo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Mar 23rd, 2009 - about 17 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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