Gorman, Michael Haskins
Gorman, Michael Haskins is an individual health care provider with primary practice located at 14245P Centreville Sq , Centreville VA 20121. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gorman, Michael Haskins can be contacted via phone (703) 830-9110.Contact Information
Primary practice address
14245P Centreville Sq
Centreville VA 20121
Phone: (703) 830-9110
Fax: (703) 830-1632
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | Virginia |
Profile Details
| NPI number | 1841206042 |
|---|---|
| LBN Legal business name | Gorman, Michael Haskins |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1841206042 | NPPES |
| Virginia | MEDICAID | 9178685 |
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