Gorman, Trevor Adrian Daniel

Gorman, Trevor Adrian Daniel is an individual health care provider with primary practice located at 1 Medical Park Blvd Ste 400E , Bristol TN 37620-7431. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Gorman, Trevor Adrian Daniel can be contacted via phone (423) 844-5400.

Contact Information

Primary practice address
1 Medical Park Blvd Ste 400E Bristol TN 37620-7431
Phone: (423) 844-5400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5712 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5712 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 5712 Tennessee

Profile Details

NPI number 1306175997
LBN Legal business name Gorman, Trevor Adrian Daniel
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2009
Last updated Mar 12th, 2024 - about 2 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 1306175997 NPPES
Tennessee Other 5712 STATE LICENSE

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