Gormley, John Michael

Gormley, John Michael is an individual health care provider with primary practice located at 3900 Kresge Way Suite 51-A, Louisville KY 40207-4660. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Gormley, John Michael can be contacted via phone (502) 891-8981.

Contact Information

Primary practice address
3900 Kresge Way Suite 51-A Louisville KY 40207-4660
Phone: (502) 891-8981
Fax: (502) 891-4548
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 35530 Kentucky

Profile Details

NPI number 1538133863
LBN Legal business name Gormley, John Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Mar 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538133863 NPPES
Kentucky Other 2438719000 PASSPORT ADVANTAGE
Kentucky Other 4881531 PASSPORT ADVANTAGE
Kentucky Other 009597 PASSPORT ADVANTAGE
Kentucky Other 400040047 PASSPORT ADVANTAGE
Kentucky Other 50031805 PASSPORT ADVANTAGE
Kentucky MEDICAID 200253020 PASSPORT ADVANTAGE
Kentucky Other M400053460 PASSPORT ADVANTAGE
Kentucky Other 000000210852 PASSPORT ADVANTAGE
Kentucky Other 000000694535 PASSPORT ADVANTAGE
Kentucky Other 000057080Z PASSPORT ADVANTAGE
Kentucky MEDICAID 64002199 PASSPORT ADVANTAGE
Kentucky Other 1152901 PASSPORT ADVANTAGE

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