Gorman, Stacy

Gorman, Stacy is an individual health care provider with primary practice located at 635 Main St , Middletown CT 06457-2718. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Gorman, Stacy can be contacted via phone (860) 347-6971.

Contact Information

Primary practice address
635 Main St Middletown CT 06457-2718
Phone: (860) 347-6971
Fax: (860) 638-6601
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 006857 Connecticut

Profile Details

NPI number 1972571453
LBN Legal business name Gorman, Stacy
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jul 8th, 2007 - about 19 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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