Gorsuch, Wanda Lea

Gorsuch, Wanda Lea is an individual health care provider with primary practice located at 1401 25Th St S , Great Falls MT 59405-5183. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as her primary health care specialty. Gorsuch, Wanda Lea can be contacted via phone (406) 731-8888.

Contact Information

Primary practice address
1401 25Th St S Great Falls MT 59405-5183
Phone: (406) 731-8888
Fax: (406) 731-8318
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 6360 Montana

Profile Details

NPI number 1649211566
LBN Legal business name Gorsuch, Wanda Lea
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Apr 2nd, 2021 - about 5 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 1649211566 NPPES
Montana Other 184609700 FEDERAL WORK COMP
Montana Other 810347861 FEDERAL WORK COMP
Montana MEDICAID 0080132 FEDERAL WORK COMP
Montana Other 810347861004 FEDERAL WORK COMP
Montana Other 000097000 FEDERAL WORK COMP
Montana Other 200023483 FEDERAL WORK COMP
Montana Other 0139917 FEDERAL WORK COMP

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