Gornowicz, Blake

Gornowicz, Blake is an individual health care provider with primary practice located at 1700 E 19Th Street , The Dalles OR 97058. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gornowicz, Blake can be contacted via phone (541) 296-1111.

Contact Information

Primary practice address
1700 E 19Th Street The Dalles OR 97058
Phone: (541) 296-1111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2004018445 Missouri

Profile Details

NPI number 1548363732
LBN Legal business name Gornowicz, Blake
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Dec 11th, 2013 - about 13 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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