Gormley, Elizabeth Ann
Gormley, Elizabeth Ann is an individual health care provider with primary practice located at 1 Medical Center Dr Section Of Urology, Lebanon NH 03756-1000. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Urology is her primary health care specialty. Gormley, Elizabeth Ann can be contacted via phone (603) 650-6053.Contact Information
Primary practice address
1 Medical Center Dr Section Of Urology
Lebanon NH 03756-1000
Phone: (603) 650-6053
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 9038 | New Hampshire |
| Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery | 2088F0040X | 9038 | New Hampshire |
Profile Details
| NPI number | 1457465189 |
|---|---|
| LBN Legal business name | Gormley, Elizabeth Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Apr 2nd, 2012 - about 14 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 | 1457465189 | NPPES |
| Vermont | MEDICAID | 0RE2822 | |
| Vermont | MEDICAID | 99002822 |
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