Gorman, Michael Justin

Gorman, Michael Justin is an individual health care provider with primary practice located at 10521 Jeffreys St Ste 100 , Henderson NV 89052-4181. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gorman, Michael Justin can be contacted via phone (702) 269-6345.

Contact Information

Primary practice address
10521 Jeffreys St Ste 100 Henderson NV 89052-4181
Phone: (702) 269-6345
Fax: (702) 269-9422
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 38165 Colorado
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO1423 Nevada

Profile Details

NPI number 1356342364
LBN Legal business name Gorman, Michael Justin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Apr 6th, 2023 - about 3 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 1356342364 NPPES
Nevada Other DO1423 STATE LICENSE
Nevada MEDICAID 1356342364 STATE LICENSE

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