Gourley, Eric
Gourley, Eric is an individual health care provider with primary practice located at 11960 Lioness Way Ste 210 , Parker CO 80134-5644. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Gourley, Eric can be contacted via phone (303) 695-6106.Contact Information
Primary practice address
11960 Lioness Way Ste 210
Parker CO 80134-5644
Phone: (303) 695-6106
Fax: (303) 695-1211
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Urology | 208800000X | DR.0064296 | Colorado |
Profile Details
| NPI number | 1336463447 |
|---|---|
| LBN Legal business name | Gourley, Eric |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 18th, 2010 |
| Last updated | Sep 10th, 2020 - about 6 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 | 1336463447 | NPPES |
| Colorado | Other | DR.0064296 | STATE LICENSE |
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